Dr Jeoffry Bruce Gordon, MD in San Diego, CA

Dr Jeoffry Bruce Gordon, MD is a medicare enrolled "Family Medicine" physician in San Diego, California. His current practice location is 1947 Cable St, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 223-7164.

Dr Jeoffry Bruce Gordon is licensed to practice in California (license number G19279) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649263682.

Contact Information

	Dr Jeoffry Bruce Gordon, MD
	1947 Cable St, San Diego, CA 92107-2807
	(619) 223-7164
	(619) 223-5443

Map and Direction

Physician's Profile

Full Name	Dr Jeoffry Bruce Gordon
Gender	Male
Speciality	Family Medicine
Location	1947 Cable St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649263682
Provider Enumeration Date: 08/24/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9335043504
Enrollment ID: I20031125000937

Medical Identifiers

Medical identifiers for Dr Jeoffry Bruce Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649263682	NPI	-	NPPES
00G192790	Medicaid	CA
G19279	Other	CA	LICENCE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G19279 (California)	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 Jeoffry Bruce Gordon allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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 Jeoffry Bruce 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 Jeoffry Bruce Gordon, MD 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 525-2300	Dr Jeoffry Bruce Gordon, MD 1947 Cable St, San Diego, CA 92107-2807 Ph: (619) 223-7164

Reviews and Comments

Family Medicine Doctors in San Diego, CA

Dr. Kyle P. Edmonds, M.D., FAAHPM Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8216, San Diego, CA 92103 Phone: 858-534-6091 Fax: 619-543-3947
Jessica C. Cook, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4291 Robbins St, San Diego, CA 92122 Phone: 858-531-5692
Robina Ahmad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Rd, San Diego, CA 92111 Phone: 858-279-9676
Dr. Anna M Mercer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Bashir A. Rawi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Martin P. Murillo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Erwin Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000

Dr Jeoffry Bruce Gordon, MD - Medicare Family Medicine in San Diego, CA