Bradley Gordan, DO | |
500 Arcade Ave Ste 320, Elkhart, IN 46514-2477 | |
(574) 523-7900 | |
(574) 523-7909 |
Full Name | Bradley Gordan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 11 Years |
Location | 500 Arcade Ave Ste 320, Elkhart, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134562762 | NPI | - | NPPES |
1134562762 | Medicaid | NY | |
300060816 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 02006650A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center - Cedar Rapids | Cedar rapids, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Medical Center | 4183535271 | 166 |
Entity Name | Mercy Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700834165 PECOS PAC ID: 4183535271 Enrollment ID: O20031215000145 |
Mailing Address | Practice Location Address |
---|---|
Bradley Gordan, DO 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Bradley Gordan, DO 500 Arcade Ave Ste 320, Elkhart, IN 46514-2477 Ph: (574) 523-7900 |
Luis Alfonso Benavente Chenhalls, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave, Suite 340, Elkhart, IN 46514 Phone: 574-293-3317 Fax: 574-293-3523 | |
Nicholas Miller, Surgery Medicare: Medicare Enrolled Practice Location: 500 Arcade Ave Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891 | |
Anatoliy V. Rudin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-293-3317 | |
Dr. Kelly R. Puster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3220 Fax: 574-296-3322 | |
Dr. Jeffery A Mark, MD Surgery Medicare: Medicare Enrolled Practice Location: 515 S 2nd St, Elkhart, IN 46516 Phone: 574-295-4141 | |
Dr. Colin Talanda Fath, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 |