Gordon A Cohen, is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bellevue, Washington. His current practice location is
4455 148th Ave Ne, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 869-4746.
Gordon A Cohen is licensed to practice in Washington (license number MD00033730) 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 1629168513.
Physician's Profile
| Full Name | Gordon A Cohen |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 4455 148th Ave Ne, Bellevue, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629168513
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 07/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 4688643505
- Enrollment ID: I20160623001855
Medical Identifiers
Medical identifiers for Gordon A Cohen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629168513 | NPI | - | NPPES |
| 4539 | Other | | INTERNAL ID-MOTOR VEHICLE ID |
| 8321341 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD00033730 (Washington) | 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. Gordon A Cohen allows following entities to bill medicare on his behalf.
| Entity Name | Banner Physician Super Specialists Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353 |
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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. Gordon A Cohen 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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Gordon A Cohen,
4455 148th Ave Ne,
Bellevue, WA 98007-3120
Ph: () - | Gordon A Cohen,
4455 148th Ave Ne,
Bellevue, WA 98007
Ph: (425) 869-4746 |
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