John R Gannon, MD | |
935 Highland Blvd Ste 2160, Bozeman, MT 59715-6913 | |
(406) 414-5300 | |
Not Available |
Full Name | John R Gannon |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 15 Years |
Location | 935 Highland Blvd Ste 2160, Bozeman, Montana |
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 |
---|---|---|---|
1861634289 | NPI | - | NPPES |
1861634289 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 208800000X (Washington) | Secondary |
208800000X | Urology | 58876 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bozeman Health Deaconess Hospital | Bozeman, MT | Hospital |
Big Sky Medical Center | Big sky, MT | Hospital |
Livingston Healthcare | Livingston, MT | Hospital |
St Peters Hospital | Helena, MT | Hospital |
Madison Valley Medical Center | Ennis, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bozeman Health Deaconess Hospital | 4688984164 | 231 |
Entity Name | Bozeman Health Deaconess Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619347390 PECOS PAC ID: 4688984164 Enrollment ID: O20151112002559 |
Mailing Address | Practice Location Address |
---|---|
John R Gannon, MD 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (406) 414-1671 | John R Gannon, MD 935 Highland Blvd Ste 2160, Bozeman, MT 59715-6913 Ph: (406) 414-5300 |
Dr. Jason Farrell Skenazy, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 935 Highland Blvd, Bozeman, MT 59715 Phone: 406-414-5300 | |
Dr. James Bruce Robertson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 711 W Main St, Bozeman, MT 59715 Phone: 406-551-2306 Fax: 406-284-0250 | |
Gregory Pritham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 935 Highland Blvd Ste 2160, Bozeman, MT 59715 Phone: 406-414-5300 |