Gordon Phillips Iv, MD in West Reading, PA

Gordon Phillips Iv, MD is a medicare enrolled "Family Medicine" physician in West Reading, Pennsylvania. His current practice location is 420 S 5th Ave, West Reading, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 628-8855.

Gordon Phillips Iv is licensed to practice in Pennsylvania (license number MT219200) 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 1770143125.

Contact Information

	Gordon Phillips Iv, MD
	420 S 5th Ave, West Reading, PA 19611-2143
	(484) 628-8855
	(484) 628-5064

Map and Direction

Physician's Profile

Full Name	Gordon Phillips Iv
Gender	Male
Speciality	Family Medicine
Location	420 S 5th Ave, West Reading, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770143125
Provider Enumeration Date: 06/18/2019
Last Update Date: 06/28/2019

Medicare PECOS Information:

PECOS PAC ID: 7416284146
Enrollment ID: I20220818001797

Medical Identifiers

Medical identifiers for Gordon Phillips Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770143125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MT219200 (Pennsylvania)	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 Phillips Iv allows following entities to bill medicare on his behalf.

Entity Name	Trivalley Primary Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245295757 PECOS PAC ID: 4981680923 Enrollment ID: O20040629000657

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 Phillips Iv 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
Gordon Phillips Iv, MD Po Box 13579, Reading, PA 19612-3579 Ph: () -	Gordon Phillips Iv, MD 420 S 5th Ave, West Reading, PA 19611-2143 Ph: (484) 628-8855

Reviews and Comments

Family Medicine Doctors in West Reading, PA

Aqsaa Chaudhry, Family Medicine Medicare: Medicare Enrolled Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8000
Jacqueline Storer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8855 Fax: 484-628-5064
Kyra Valent, Family Medicine Medicare: Medicare Enrolled Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8000
Arthur Gross Jr., DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8198 Fax: 484-628-8390
Nancy Olinger, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 494-628-3637
Liane Conte, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8855 Fax: 484-628-5064
Lee Radosh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 7th Ave, Suite 200, West Reading, PA 19611 Phone: 610-988-8198

Gordon Phillips Iv, MD - Medicare Family Medicine in West Reading, PA