Gordon Roberts Mcdevitt Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Clinton, North Carolina. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Charlotte Radiology Pa and his current practice location is
409c Cooper Dr, Clinton, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 592-8070.
Gordon Roberts Mcdevitt Jr is licensed to practice in North Carolina (license number 9400579) 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 1073511234.
Physician's Profile
| Full Name | Gordon Roberts Mcdevitt Jr |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 38 Years |
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| Location | 409c Cooper Dr, Clinton, North Carolina |
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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:
- Gordon Roberts Mcdevitt Jr attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1986
NPI Data:
- NPI Number: 1073511234
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 10/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466591888
- Enrollment ID: I20100805001168
Medical Identifiers
Medical identifiers for Gordon Roberts Mcdevitt Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073511234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 9400579 (North Carolina) | Primary |
Medical Facilities Affiliation
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 Roberts Mcdevitt Jr allows following entities to bill medicare on his behalf.
| Entity Name | Charlotte Radiology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649220443
PECOS PAC ID: 4587577390
Enrollment ID: O20031107000484 |
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| Entity Name | Clinton X-ray Associates, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174521330
PECOS PAC ID: 8921147349
Enrollment ID: O20091124000651 |
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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 Roberts Mcdevitt Jr 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 Roberts Mcdevitt Jr, MD
Po Box 619,
Clinton, NC 28329-0619
Ph: (910) 592-8070 | Gordon Roberts Mcdevitt Jr, MD
409c Cooper Dr,
Clinton, NC 28328-2817
Ph: (910) 592-8070 |
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