Dr Michael Elijah Gordon Jr, MD is a medicare enrolled "Anesthesiology" physician in Carthage, New York. His current practice location is
1001 West St, Carthage, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 493-1001.
Dr Michael Elijah Gordon Jr is licensed to practice in New York (license number 243854) 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 1033323993.
Physician's Profile
Full Name | Dr Michael Elijah Gordon Jr |
---|
Gender | Male |
---|
Speciality | Anesthesiology |
---|
Location | 1001 West St, Carthage, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033323993
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 02/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 1951495308
- Enrollment ID: I20070917000421
Medical Identifiers
Medical identifiers for Dr Michael Elijah Gordon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033323993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 243854 (New York) | 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 Michael Elijah Gordon Jr allows following entities to bill medicare on his behalf.
Entity Name | Claxton-hepburn Medical Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
---|
Entity Name | Carthage Area Hospital Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
---|
Entity Name | Carthage Area Hospital Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040511000919 |
---|
Entity Name | Carthage Area Hospital Inc |
---|
Entity Type | Part A Provider - Critical Access Hospital |
---|
Entity Identifiers | NPI Number: 1104234376 PECOS PAC ID: 9931010485 Enrollment ID: O20140523000720 |
---|
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 Michael Elijah Gordon Jr 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 Michael Elijah Gordon Jr, MD 1000 West St, Carthage, NY 13619-9761 Ph: (315) 771-5422 | Dr Michael Elijah Gordon Jr, MD 1001 West St, Carthage, NY 13619-9703 Ph: (315) 493-1001 |
Reviews and Comments