Fredric D Gordon, MD | |
41 Mall Rd, 4 West, Burlington, MA 01805-0001 | |
(781) 744-8000 | |
(781) 744-5743 |
Full Name | Fredric D Gordon |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 36 Years |
Location | 41 Mall Rd, Burlington, Massachusetts |
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 |
---|---|---|---|
1891892691 | NPI | - | NPPES |
110055325A | Medicaid | MA | |
3133745 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0008X | Internal Medicine - Hepatology | 73902 (Massachusetts) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | 73902 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Tufts Medical Center | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pratt Surgical Associates Inc | 4486546082 | 42 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Pratt Surgical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912944182 PECOS PAC ID: 4486546082 Enrollment ID: O20040329000139 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | Pratt Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275570319 PECOS PAC ID: 3375515661 Enrollment ID: O20040807000255 |
Mailing Address | Practice Location Address |
---|---|
Fredric D Gordon, MD 41 Mall Rd, 4 West, Burlington, MA 01805-0001 Ph: (781) 744-5100 | Fredric D Gordon, MD 41 Mall Rd, 4 West, Burlington, MA 01805-0001 Ph: (781) 744-8000 |
Joseph Dubin, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd., Lahey Clinic, Burlington, MA 01805 Phone: 781-744-7000 Fax: 781-744-5378 | |
Gerard Daly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-5700 Fax: 781-744-5358 | |
Sahoor Khan, Internal Medicine Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Kristen M Robson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8699 Fax: 781-744-5276 | |
Eric Scott Kerns, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Road, Lahey Hospital & Medical Center, Burlington, MA 01805 Phone: 781-744-8430 Fax: 781-744-5397 | |
Neethi Rebekah Dasu, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Frederick W Heiss, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-5100 |