Alison Gagnon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cimarron, New Mexico. Her current practice location is
31039b Hwy 64, Cimarron, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 376-2402.
Alison Gagnon is licensed to practice in New Mexico (license number CNP-03092) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528515509.
Provider's Profile
Full Name | Alison Gagnon |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 31039b Hwy 64, Cimarron, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528515509
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 10/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234413642
- Enrollment ID: I20170303000083
Medical Identifiers
Medical identifiers for Alison Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528515509 | NPI | - | NPPES |
573270YM1K | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | CNP-03092 (New Mexico) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alison Gagnon allows following entities to bill medicare on her behalf.
Entity Name | Miners' Colfax Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20031105000106 |
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Entity Name | Miners' Colfax Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20100514000911 |
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Entity Name | Miners' Colfax Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20110317000764 |
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Entity Name | South Central Colfax County Special Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215163639 PECOS PAC ID: 6800070707 Enrollment ID: O20111019000475 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alison Gagnon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alison Gagnon, FNP-C 204 Turf Dr, Raton, NM 87740-2005 Ph: (303) 596-6101 | Alison Gagnon, FNP-C 31039b Hwy 64, Cimarron, NM 87714-9646 Ph: (575) 376-2402 |
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