Brian Adam Jamison Gordon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Milwaukee, Wisconsin. His current practice location is
9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 805-6034.
Brian Adam Jamison Gordon is licensed to practice in * (Not Available) (license number ) 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 1336609437.
Physician's Profile
Full Name | Brian Adam Jamison Gordon |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
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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: 1336609437
- Provider Enumeration Date: 03/23/2019
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022444256
- Enrollment ID: I20230621001875
Medical Identifiers
Medical identifiers for Brian Adam Jamison Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336609437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 12950261-1205 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Brian Adam Jamison Gordon allows following entities to bill medicare on his behalf.
Entity Name | Mountain West Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
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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. Brian Adam Jamison 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 |
Brian Adam Jamison Gordon, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-6034 | Brian Adam Jamison Gordon, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-6034 |
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