Dr Gary Kanner, MD | |
1010 Spruce St, Espanola, NM 87532-2724 | |
(505) 753-7111 | |
Not Available |
Full Name | Dr Gary Kanner |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 1010 Spruce St, Espanola, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568992220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD2020-0828 (New Mexico) | Primary |
207P00000X | Emergency Medicine | 4301112793 (New Mexico) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Presbyterian Espanola Hospital | Espanola, NM | Hospital |
Los Alamos Medical Center | Los alamos, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Los Alamos Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679965883 PECOS PAC ID: 1557680105 Enrollment ID: O20150501001381 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Kanner, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Dr Gary Kanner, MD 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 753-7111 |
Karen G Connaughton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Fernando Bayardo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Patrick Montoya, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Lea Pazos Creekmur O'dell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 | |
Valerie Merl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Dr. Brandon Allen Quinn, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-1553 |