Charles Fox Gordon Iii, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Clifton Park, New York. His current practice location is
9 Old Plank Road, Suite 100, Clifton Park, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 371-0777.
Charles Fox Gordon Iii is licensed to practice in New York (license number 1889491) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649243890.
Physician's Profile
| Full Name | Charles Fox Gordon Iii |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 9 Old Plank Road, Clifton Park, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Fox Gordon Iii attended and graduated from in
NPI Data:
- NPI Number: 1649243890
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charles Fox Gordon Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649243890 | NPI | - | NPPES |
| 1339826 | Medicaid | NY | |
| 000405090003 | Other | NY | BSNENY PIN - SPECIALIST |
| 01339826 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 1889491 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 1889491 (New York) | Primary |
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. Charles Fox Gordon Iii 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 |
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Charles Fox Gordon Iii, MD
9 Old Plank Rd Ste 100,
Clifton Park, NY 12065-3107
Ph: (518) 371-0777 | Charles Fox Gordon Iii, MD
9 Old Plank Road, Suite 100,
Clifton Park, NY 12065-3107
Ph: (518) 371-0777 |
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