Bruce Roderick Gordon, MD | |
65 Cedar St, Hyannis, MA 02601-3009 | |
(508) 790-0611 | |
(508) 790-0589 |
Full Name | Bruce Roderick Gordon |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 65 Cedar St, Hyannis, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467446542 | NPI | - | NPPES |
0142514 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 47040 (Massachusetts) | Primary |
207YX0602X | Otolaryngology - Otolaryngic Allergy | 47040 (Massachusetts) | Secondary |
Entity Name | Medical Affiliates Of Cape Cod Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010 |
Mailing Address | Practice Location Address |
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Bruce Roderick Gordon, MD 65 Cedar St, Hyannis, MA 02601-3009 Ph: (508) 790-0611 | Bruce Roderick Gordon, MD 65 Cedar St, Hyannis, MA 02601-3009 Ph: (508) 790-0611 |
David Alden Wood, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-0589 | |
Dr. Christopher Ryan Jackson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-9754 | |
Elizabeth R Mclaughlin, N.P. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-0589 | |
Edward Farrow Caldwell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-0589 | |
Courtney Miller, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 |