Charles R Gordon, MD | |
2737 S Broadway Ave, Tyler, TX 75701-5413 | |
(903) 592-6000 | |
(903) 592-3224 |
Full Name | Charles R Gordon |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 37 Years |
Location | 2737 S Broadway Ave, Tyler, Texas |
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 |
---|---|---|---|
1164535142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | H5238 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Texas Spine & Joint Hospital | Tyler, TX | Hospital |
Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles R. Gordon., Md, Pa | 8729992052 | 24 |
Entity Name | Charles R. Gordon., Md, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982717955 PECOS PAC ID: 8729992052 Enrollment ID: O20031206000131 |
Mailing Address | Practice Location Address |
---|---|
Charles R Gordon, MD Po Box 6605, Tyler, TX 75711-6605 Ph: (903) 592-6000 | Charles R Gordon, MD 2737 S Broadway Ave, Tyler, TX 75701-5413 Ph: (903) 592-6000 |
Dr. Mark B Renfro, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743 | |
James Alan Muns, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224 | |
Dr. Jon T Ledlie, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743 | |
James E Wortham, P.A. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224 | |
Dr. Paul W Detwiler, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743 | |
Dr. Nicholas Stephen Andrade, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701 Phone: 903-590-8012 |