Anthony Gordon, | |
1907 W Sycamore St, Kokomo, IN 46901-5148 | |
(765) 456-5433 | |
Not Available |
Full Name | Anthony Gordon |
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Gender | Male |
Speciality | Family Medicine |
Location | 1907 W Sycamore St, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457694770 | NPI | - | NPPES |
201185010 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01074452A (Indiana) | Secondary |
207Q00000X | Family Medicine | 01074452A (Indiana) | Primary |
Entity Name | Indiana University Health Blackford Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265021109 PECOS PAC ID: 2668381971 Enrollment ID: O20031105000567 |
Entity Name | St Vincent Physician Services Hospital And Health Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092 |
Entity Name | St Vincent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
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Anthony Gordon, 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: () - | Anthony Gordon, 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: (765) 456-5433 |
Dr. Eric Tuchscherer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Keith Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Dr. David Alan Cheesman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
William Mohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2330 S Dixon Rd, Kokomo, IN 46902 Phone: 765-455-5400 Fax: 765-865-3912 | |
Emily A Backer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 E Southway Blvd, Kokomo, IN 46902 Phone: 765-865-3300 Fax: 765-865-3306 | |
Dr. Rose Paul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 765-236-8282 | |
William G Terpstra, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 821 N Dixon Rd, Kokomo, IN 46901 Phone: 765-452-0878 Fax: 765-452-1826 |