Dr Ely R Gordon, DO, MPH is a medicare enrolled "Internal Medicine" physician in Madill, Oklahoma. His current practice location is
500 Brookside Drive, Po Box 847, Madill, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 795-5506.
Dr Ely R Gordon is licensed to practice in Missouri (license number 2006023036) 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 1215992029.
Physician's Profile
| Full Name | Dr Ely R Gordon |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 500 Brookside Drive, Madill, Oklahoma |
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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:
- Dr Ely R Gordon attended and graduated from in
NPI Data:
- NPI Number: 1215992029
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ely R Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215992029 | NPI | - | NPPES |
| 0411221 | Other | | UNITED HEALTHCARE |
| 110187817 | Other | | RR MEDICARE |
| 000008373 | Medicaid | AL | |
| 51008373 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | DO 621 (Alabama) | Secondary |
| 208000000X | Pediatrics | DO 621 (Alabama) | Secondary |
| 208000000X | Pediatrics | 2006023036 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 2006023036 (Missouri) | 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. Dr Ely R 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 Ely R Gordon, DO, MPH
5012 S Us Hwy 75, Suite 300, Attn Billing,
Denison, TX 75020-4589
Ph: (580) 795-5506 | Dr Ely R Gordon, DO, MPH
500 Brookside Drive, Po Box 847,
Madill, OK 73446-0847
Ph: (580) 795-5506 |
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