Elizabeth Honore Gannon, DO | |
11930 Democracy Dr, Reston, VA 20190-5624 | |
(202) 220-0050 | |
Not Available |
Full Name | Elizabeth Honore Gannon |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 11930 Democracy Dr, Reston, Virginia |
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 |
---|---|---|---|
1245433572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0116018418 (Virginia) | Secondary |
207Q00000X | Family Medicine | DO034874 (District Of Columbia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
One Medstar Primary Care Llc | 0749607307 | 110 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | One Medstar Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417571530 PECOS PAC ID: 0749607307 Enrollment ID: O20200827000644 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Honore Gannon, DO 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791 | Elizabeth Honore Gannon, DO 11930 Democracy Dr, Reston, VA 20190-5624 Ph: (202) 220-0050 |
Dr. Juan Alberto Trinidad, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Dr, Suite 310, Reston, VA 20190 Phone: 703-709-7225 | |
Dr. Jonathan Bernard Menezes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Metro Center Dr, Reston, VA 20190 Phone: 703-709-1500 | |
Kelly Davis Hernandez, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12330 Pinecrest Rd Ste 250, Reston, VA 20191 Phone: 703-476-1050 | |
Dr. Taseen Mir, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Robert Fulton Dr, Suite 140, Reston, VA 20191 Phone: 703-876-9300 Fax: 703-876-9811 | |
Gulnara Charipova, Family Medicine Medicare: Medicare Enrolled Practice Location: 1850 Town Center Pkwy Ste 412, Reston, VA 20190 Phone: 703-689-9379 Fax: 703-639-9569 | |
Thomas S Sullivan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191 Phone: 571-262-5200 Fax: 571-521-7249 |