Dr Michael Kevin Gannon, MD | |
2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 | |
(360) 733-7670 | |
(360) 647-1901 |
Full Name | Dr Michael Kevin Gannon |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 42 Years |
Location | 2979 Squalicum Pkwy, Bellingham, Washington |
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 |
---|---|---|---|
1790704856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD00021195 (Washington) | Secondary |
207X00000X | Orthopaedic Surgery | MD00021195 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Bellingham, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proliance Surgeons Inc Ps | 8527972900 | 358 |
Entity Name | Proliance Surgeons Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Kevin Gannon, MD 2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 Ph: (360) 733-7670 | Dr Michael Kevin Gannon, MD 2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 Ph: (360) 733-7670 |
Warren S Taranow, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-733-2092 Fax: 360-733-4013 | |
Thiran Udawatta, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225 Phone: 360-733-7670 Fax: 360-647-1901 | |
Dr. Leonard B Kolodychuk, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-738-2200 Fax: 360-733-4013 | |
Jason W Dahl, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225 Phone: 360-733-7670 Fax: 763-520-7580 | |
John Loch Trimingham, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4280 Meridian St, Suite 110, Bellingham, WA 98226 Phone: 360-788-7733 Fax: 360-676-7471 | |
Ronald Yg Woo, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3015 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-733-2092 Fax: 360-733-4013 | |
Carla S Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 Squalicum Pkwy Ste 200, Bellingham, WA 98225 Phone: 360-733-2092 Fax: 360-788-6042 |