Annika Bannon, MD | |
80 B Veterans Blvd, Acoma, NM 87034-8704 | |
(505) 552-5300 | |
(505) 552-5490 |
Full Name | Annika Bannon |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 5 Years |
Location | 80 B Veterans Blvd, Acoma, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508326471 | NPI | - | NPPES |
H3451 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301506218 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northern Light Mercy Hospital | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Hospital | 6103737812 | 229 |
Entity Name | Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
Mailing Address | Practice Location Address |
---|---|
Annika Bannon, MD Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Annika Bannon, MD 80 B Veterans Blvd, Acoma, NM 87034-8704 Ph: (505) 552-5300 |
Dr. George R Kiracofe, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 | |
Dr. Halea Kala Meese, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. David Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5385 Fax: 505-552-5828 | |
Dr. Nabil M Habib, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 | |
Dr. Stephen K Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 |