Charles S Gordon, MD | |
512 Nokomis Ave S, Venice, FL 34285-2817 | |
(941) 488-7781 | |
(941) 484-9235 |
Full Name | Charles S Gordon |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 512 Nokomis Ave S, Venice, Florida |
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 |
---|---|---|---|
1679516124 | NPI | - | NPPES |
265320600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME0068812 (Florida) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | ME0068812 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarasota Memorial Hospital | Sarasota, FL | Hospital |
Blake Medical Center | Bradenton, FL | Hospital |
Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
Largo Medical Center | Largo, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tampa Bay Radiology Associates Pa | 1456381136 | 114 |
Radiology Physician Solutions Of West Florida Llc | 3577876218 | 95 |
Sheridan Radiology Services Of Pinellas Inc | 7517119407 | 85 |
Mori Bean And Brooks Inc | 8820077878 | 647 |
Entity Name | Tower Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20040713000446 |
Entity Name | Mori Bean And Brooks Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
Entity Name | Tampa Bay Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518914977 PECOS PAC ID: 1456381136 Enrollment ID: O20050813000096 |
Entity Name | Sheridan Radiology Services Of Pinellas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609211432 PECOS PAC ID: 7517119407 Enrollment ID: O20121128000124 |
Entity Name | F&s Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 0244368868 Enrollment ID: O20140731002204 |
Entity Name | Radiology Physician Solutions Of West Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20150723008463 |
Mailing Address | Practice Location Address |
---|---|
Charles S Gordon, MD Po Box 1508, Venice, FL 34284-1508 Ph: (941) 488-7781 | Charles S Gordon, MD 512 Nokomis Ave S, Venice, FL 34285-2817 Ph: (941) 488-7781 |
Gary D Wright, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-484-9235 | |
Sergio L Selva, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-484-9235 | |
Dr. Kimberly Ann Ruzek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 516 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 | |
Dr. Thomas Francis Barrett Sr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1211 Tuscany Blvd, Venice, FL 34292 Phone: 941-492-4140 Fax: 941-493-7189 | |
Dr. Josiah Bancroft, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-486-8991 | |
Dr. Brian Douglas Lawenda, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8026 S Tamiami Trail, Venice, FL 34293 Phone: 941-220-6460 Fax: 941-220-5284 | |
Eric M Vihlen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-484-9235 |