Dr Lawrence W Gordon, MD | |
6005 Park Ave, Ste 624b, Memphis, TN 38119-5221 | |
(901) 682-1100 | |
(901) 682-6915 |
Full Name | Dr Lawrence W Gordon |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 32 Years |
Location | 6005 Park Ave, Memphis, Tennessee |
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 |
---|---|---|---|
1982609665 | NPI | - | NPPES |
146871001 | Medicaid | AR | |
5L961 | Other | AR | ARKANSAS MEDICARE |
0119321 | Medicaid | MS | |
5L961 | Other | AR | BLUE CROSS OF ARKANSAS |
3050718 | Medicaid | TN | |
180031674 | Other | TN | RAILROAD MEDICARE |
3066300 | Other | TN | BLUE CROSS OF TENNESSEE |
P00777025 | Other | AR | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 19749 (Tennessee) | Primary |
207WX0107X | Ophthalmology - Retina Specialist | 19749 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid South Retina Associates, Llc | 8921080094 | 6 |
Mid South Retina Associates, Llc | 8921080094 | 6 |
Entity Name | Mid-south Retina Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316973076 PECOS PAC ID: 8921080094 Enrollment ID: O20040602001396 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence W Gordon, MD Po Box 1000 Dept 448, Memphis, TN 38148-0448 Ph: (901) 682-1100 | Dr Lawrence W Gordon, MD 6005 Park Ave, Ste 624b, Memphis, TN 38119-5221 Ph: (901) 682-1100 |
Kathryn W Byrd, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 324, Memphis, TN 38119 Phone: 901-681-9600 Fax: 901-681-9608 | |
Dr. Clifford William Sims, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1407 Union Ave Ste 901, Memphis, TN 38104 Phone: 901-526-8393 Fax: 901-526-8331 | |
Priscilla April Lao, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38103 Phone: 901-448-6650 Fax: 901-302-2486 | |
Dr. Daniel H Wissinger, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1203 Ridgeway Rd, Ste 201, Memphis, TN 38119 Phone: 901-761-5544 Fax: 901-761-9088 | |
Penny Asbell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38163 Phone: 901-448-6650 | |
Michele A Battles, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 340, Memphis, TN 38119 Phone: 901-683-5500 Fax: 901-683-2900 | |
Dr. Natalie C Kerr, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 400, Memphis, TN 38103 Phone: 901-287-7337 Fax: 901-448-1813 |