Dr Christal A Gordon, MD in Janesville, WI

Dr Christal A Gordon, MD is a medicare enrolled "Pediatrics" physician in Janesville, Wisconsin. Her current practice location is 3524 E Milwaukee St, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 756-7100.

Dr Christal A Gordon is licensed to practice in Wisconsin (license number 23772) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558414243.

Contact Information

	Dr Christal A Gordon, MD
	3524 E Milwaukee St, Janesville, WI 53546-1626
	(608) 756-7100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Christal A Gordon
Gender	Female
Speciality	Pediatrics
Location	3524 E Milwaukee St, Janesville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558414243
Provider Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860521390
Enrollment ID: I20100521000402

Medical Identifiers

Medical identifiers for Dr Christal A Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558414243	NPI	-	NPPES
30403800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	23772 (Wisconsin)	Primary

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. Dr Christal A Gordon allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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. Dr Christal A Gordon 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
Dr Christal A Gordon, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100	Dr Christal A Gordon, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100

Reviews and Comments

Pediatrics Doctors in Janesville, WI

John M Ziegler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919
Dr. Katsumi Neeno, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2341 Tradition Ln, Janesville, WI 53545 Phone: 608-754-0999
Julie A Waraksa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919
Dr. Kristen M Goelzer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100
Mary Augustian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 Fax: 608-756-4700
Alfredo F Mendoza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919
Jonathan D Roe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Deerfield Dr, Janesville, WI 53546 Phone: 608-314-3600 Fax: 608-314-3601

Dr Christal A Gordon, MD - Medicare Pediatrics in Janesville, WI