Dr Paul James Gordon, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Chicago Ridge, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Thoracic Surgical Associates, Llc and his current practice location is
10604 Southwest Hwy Ste 101, Chicago Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 346-4065.
Dr Paul James Gordon is licensed to practice in Illinois (license number 036095321) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356341994.
Physician's Profile
| Full Name | Dr Paul James Gordon |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 34 Years |
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| Location | 10604 Southwest Hwy Ste 101, Chicago Ridge, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Paul James Gordon attended and graduated from Southern Illinois University School Of Medicine in 1990
NPI Data:
- NPI Number: 1356341994
- Provider Enumeration Date: 07/26/2005
- Last Update Date: 11/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 7416928718
- Enrollment ID: I20101220000908
Medical Identifiers
Medical identifiers for Dr Paul James Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356341994 | NPI | - | NPPES |
| 036095321 | Medicaid | IL | |
| 200144230F | Medicaid | IN | |
| 200144230C | Medicaid | IN | |
| 1356341994 | Medicaid | MI | |
| 200144230A | Medicaid | IN | |
| 200144230B | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01046920A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036095321 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Thoracic Surgical Associates, Llc | 7315298809 | 2 |
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 Paul James Gordon allows following entities to bill medicare on his behalf.
| Entity Name | Thoracic Surgical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225528979
PECOS PAC ID: 7315298809
Enrollment ID: O20180921002597 |
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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 Paul James 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 |
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Dr Paul James Gordon, MD
10604 Southwest Hwy Ste 101,
Chicago Ridge, IL 60415-2704
Ph: (708) 346-4065 | Dr Paul James Gordon, MD
10604 Southwest Hwy Ste 101,
Chicago Ridge, IL 60415
Ph: (708) 346-4065 |
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