Dr Zachary Nathan Gordon, MD is a medicare enrolled "Urology" physician in Lebanon, Indiana. He went to Warren Alpert Medical School Of Brown University and graduated in 2011 and has 13 years of diverse experience with area of expertise as Urology. He is a member of the group practice Witham Memorial Hospital and his current practice location is
2705 N Lebanon St Ste 265, Lebanon, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 485-8730.
Dr Zachary Nathan Gordon is licensed to practice in Indiana (license number 01077056A) 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 1790075851.
Physician's Profile
Full Name | Dr Zachary Nathan Gordon |
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Gender | Male |
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Speciality | Urology |
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Experience | 13 Years |
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Location | 2705 N Lebanon St Ste 265, Lebanon, Indiana |
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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. |
Medical Education and Training:
- Dr Zachary Nathan Gordon attended and graduated from Warren Alpert Medical School Of Brown University in 2011
NPI Data:
- NPI Number: 1790075851
- Provider Enumeration Date: 04/11/2011
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587805841
- Enrollment ID: I20160628002667
Medical Identifiers
Medical identifiers for Dr Zachary Nathan Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790075851 | NPI | - | NPPES |
201369920 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083C0008X | Preventive Medicine - Clinical Informatics | 01077056A (Indiana) | Secondary |
208800000X | Urology | 01077056A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Witham Memorial Hospital | 4082523170 | 93 |
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 Zachary Nathan Gordon allows following entities to bill medicare on his behalf.
Entity Name | Witham Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402 |
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Entity Name | University Urologists Inc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104877141 PECOS PAC ID: 4284604208 Enrollment ID: O20040728000391 |
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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 Zachary Nathan 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 Zachary Nathan Gordon, MD 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () - | Dr Zachary Nathan Gordon, MD 2705 N Lebanon St Ste 265, Lebanon, IN 46052 Ph: (765) 485-8730 |
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