Annika Bannon, MD - Medicare Family Practice in Acoma, NM

Annika Bannon, MD is a medicare enrolled "Family Medicine" physician in Acoma, New Mexico. She went to University Of Massachusetts Medical School and graduated in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Acoma-canoncito-laguna Indian Health Center, Mercy Hospital and her current practice location is 80 B Veterans Blvd, Acoma, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 552-5300.

Annika Bannon is licensed to practice in Michigan (license number 4301506218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508326471.

Contact Information

Annika Bannon, MD
80 B Veterans Blvd,
Acoma, NM 87034-8704
(505) 552-5300
(505) 552-5490



Physician's Profile

Full NameAnnika Bannon
GenderFemale
SpecialityFamily Practice
Experience5 Years
Location80 B Veterans Blvd, Acoma, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Annika Bannon attended and graduated from University Of Massachusetts Medical School in 2019
  NPI Data:
  • NPI Number: 1508326471
  • Provider Enumeration Date: 03/25/2019
  • Last Update Date: 01/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901149525
  • Enrollment ID: I20230118001281

Medical Identifiers

Medical identifiers for Annika Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508326471NPI-NPPES
H3451MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301506218 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acoma-canoncito-laguna Indian Health Center84269516827
Mercy Hospital6103737812207

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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. Annika Bannon allows following entities to bill medicare on her behalf.
Entity NameAcoma-canoncito-laguna Indian Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225103922
PECOS PAC ID: 8426951682
Enrollment ID: O20040127001079

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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. Annika Bannon 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
Annika Bannon, MD
Po Box 130,
San Fidel, NM 87049-0130

Ph: (505) 552-5300
Annika Bannon, MD
80 B Veterans Blvd,
Acoma, NM 87034-8704

Ph: (505) 552-5300

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Family Medicine Doctors in Acoma, NM

Dr. George R Kiracofe, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Dr. Nabil M Habib, M.D
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Dr. Stephen K Williams, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Dr. Caleb Vanderveen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5445    
Dr. Casey F Onik, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5490

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