Dr Marvin Isaac Gordon, MD is a medicare enrolled "Ophthalmology" physician in Lakewood, California. His current practice location is
3300 E South St Ste 207, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at
(562) 602-5503.
Dr Marvin Isaac Gordon is licensed to practice in California (license number A83747) 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 1386860575.
Physician's Profile
Full Name | Dr Marvin Isaac Gordon |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 3300 E South St Ste 207, Lakewood, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386860575
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 11/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416906342
- Enrollment ID: I20050118001067
Medical Identifiers
Medical identifiers for Dr Marvin Isaac Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386860575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | A83747 (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 Marvin Isaac Gordon allows following entities to bill medicare on his behalf.
Entity Name | Bernard Monderer |
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Entity Type | Practitioner - Ophthalmology |
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Entity Identifiers | NPI Number: 1548289671 PECOS PAC ID: 7113944596 Enrollment ID: I20051025000612 |
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Entity Name | Marvin Isaac Gordon Md A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891066221 PECOS PAC ID: 8628238359 Enrollment ID: O20120404000359 |
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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 Marvin Isaac 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 Marvin Isaac Gordon, MD 163 N Formosa Ave, Los Angeles, CA 90036-2817 Ph: (310) 622-3600 | Dr Marvin Isaac Gordon, MD 3300 E South St Ste 207, Lakewood, CA 90805-4549 Ph: (562) 602-5503 |
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