| Tim B Gannon, PA | |
|
3450 Zafarano Dr, Suite C, Santa Fe, NM 87507-2669 | |
| (505) 466-5885 | |
| (505) 466-5886 |
| Full Name | Tim B Gannon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 3450 Zafarano Dr, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992024 | NPI | - | NPPES |
| 25773119 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2010-0058 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tim B Gannon, PA 3450 Zafarano Dr, Suite C, Santa Fe, NM 87507-2669 Ph: (505) 466-5885 | Tim B Gannon, PA 3450 Zafarano Dr, Suite C, Santa Fe, NM 87507-2669 Ph: (505) 466-5885 |
Mr. Mitchell Constant, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1640 Old Pecos Trail, Suite H, Health Front, Pc, Santa Fe, NM 87505 Phone: 505-992-0233 | |
Leah Shinbach, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Botulph Ln, Santa Fe, NM 87505 Phone: 505-983-8387 Fax: 505-820-2733 | |
Merry Beyeler, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 2801 Rodeo Rd, Suite B-13, Santa Fe, NM 87507 Phone: 505-474-5241 Fax: 505-471-4503 | |
Darina Linnik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr Ste 240, Santa Fe, NM 87505 Phone: 505-913-3975 | |
Kimberly A Berge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 433 St Michaels Dr, Santa Fe, NM 87505 Phone: 505-988-1232 Fax: 505-984-1603 | |
Dominic Matthew Guerin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 440 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-982-5014 | |
Eda Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505 Phone: 505-820-2562 |