Dr Paul E Gordon, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Burlington, Massachusetts. His current practice location is
77 S Bedford St Ste 100, Burlington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 272-0800.
Dr Paul E Gordon is licensed to practice in Massachusetts (license number 246483) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164448171.
Healthcare Provider's Profile
Full Name | Dr Paul E Gordon |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 77 S Bedford St Ste 100, Burlington, Massachusetts |
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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: 1164448171
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 05/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 6608054192
- Enrollment ID: I20110706000020
Medical Identifiers
Medical identifiers for Dr Paul E Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164448171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8424 (Massachusetts) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 246483 (Massachusetts) | 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. Dr Paul E Gordon allows following entities to bill medicare on his behalf.
Entity Name | Melrose Wakefield Oral Surgery Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568409902 PECOS PAC ID: 0244249209 Enrollment ID: O20060419000533 |
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Entity Name | Lynn Oral Surgery Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508096496 PECOS PAC ID: 1759437148 Enrollment ID: O20090928000207 |
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Entity Name | Burlington Oral And Facial Surgery Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003251398 PECOS PAC ID: 2264656859 Enrollment ID: O20140623001524 |
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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. Dr Paul E Gordon 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 |
Dr Paul E Gordon, DMD, MD 77 S Bedford St Ste 100, Burlington, MA 01803-5154 Ph: (781) 272-0800 | Dr Paul E Gordon, DMD, MD 77 S Bedford St Ste 100, Burlington, MA 01803-5154 Ph: (781) 272-0800 |
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