Dr Gordon Bruce Roget, MD is a
Plastic Surgery physician based in Lodi, California. Dr Gordon Bruce Roget is licensed to practice in California (license number A34480) and his current practice location is 510 S Fairmont Ave, Lodi, California. He can be reached at his office (for appointments etc.) via phone at
(209) 334-4975.
NPI number for Dr Gordon Bruce Roget is 1366563413 and his current mailing address is 510 S Fairmont Ave, Lodi, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366563413.
Physician's Profile
| Full Name | Dr Gordon Bruce Roget |
|---|
| Gender | Male |
|---|
| Speciality | Plastic Surgery |
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| Location | 510 S Fairmont Ave, Lodi, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366563413
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Dr Gordon Bruce Roget such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366563413 | NPI | - | NPPES |
| A34480 | Other | CA | CALIFORNIA MEDICAL LICENS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | A34480 (California) | 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 Gordon Bruce Roget is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gordon Bruce Roget, MD
510 S Fairmont Ave,
Lodi, CA 95240-3800
Ph: (209) 334-4975 | Dr Gordon Bruce Roget, MD
510 S Fairmont Ave,
Lodi, CA 95240-3800
Ph: (209) 334-4975 |
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