Charles Fox Gordon Iii, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Clifton Park, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 1988 and has 36 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice New York Pain Management Pllc and 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 | Interventional Pain Management |
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| Experience | 36 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 Columbia University College Of Physicians And Surgeons in 1988
NPI Data:
- NPI Number: 1649243890
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860399649
- Enrollment ID: I20031218000837
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New York Pain Management Pllc | 8325945199 | 3 |
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. Charles Fox Gordon Iii allows following entities to bill medicare on his behalf.
| Entity Name | New York Pain Management Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407884455
PECOS PAC ID: 8325945199
Enrollment ID: O20031218000634 |
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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. 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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