Alexandra Louise Gannon, MD - Medicare Obstetrics & Gynecology in Winston Salem, NC

Alexandra Louise Gannon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Winston Salem, North Carolina. Her current practice location is Medical Center Blvd, Department Of Obstetrics And Gynecology, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-4615.

Alexandra Louise Gannon is licensed to practice in Texas (license number S0679) 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 1922495639.

Contact Information

Alexandra Louise Gannon, MD
Medical Center Blvd, Department Of Obstetrics And Gynecology,
Winston Salem, NC 27157-0001
(336) 716-4615
(336) 716-6937



Physician's Profile

Full NameAlexandra Louise Gannon
GenderFemale
SpecialityObstetrics & Gynecology
LocationMedical Center Blvd, Winston Salem, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922495639
  • Provider Enumeration Date: 04/20/2015
  • Last Update Date: 07/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8123337144
  • Enrollment ID: I20200125000053

Medical Identifiers

Medical identifiers for Alexandra Louise Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922495639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology S0679 (Texas)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Alexandra Louise Gannon allows following entities to bill medicare on her behalf.
Entity NameBaylor College Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053352914
PECOS PAC ID: 8224941265
Enrollment ID: O20031106000562

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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. Alexandra Louise Gannon 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 AddressPractice Location Address
Alexandra Louise Gannon, MD
1 Baylor Plz # Bcm610,
Houston, TX 77030-3411

Ph: (832) 826-7371
Alexandra Louise Gannon, MD
Medical Center Blvd, Department Of Obstetrics And Gynecology,
Winston Salem, NC 27157-0001

Ph: (336) 716-4615

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Obstetrics & Gynecology Doctors in Winston Salem, NC

Amr Sherif Mohamed Rifaa El Haraki, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2255    
Dr. Laura Best Ramsay, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 114 Charlois Blvd, Winston Salem, NC 27103
Phone: 336-765-5470    Fax: 336-765-5428
Douglas Wayne Miyazaki, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 770 Highland Oaks Dr Ste 100, Winston Salem, NC 27103
Phone: 367-181-9703    Fax: 336-774-8601
Joshua Franklin Nitsche, M.D., PHD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2011    
Dr. Joshua Trinidad, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103
Phone: 336-277-8800    Fax: 336-277-8850
Sara Elizabeth Clymer, D.O.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 114 Charlois Blvd, Winston Salem, NC 27103
Phone: 336-765-5470    Fax: 336-499-5428
Laurel Katherine Berry, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2255    

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