Gordon Tadewaldt, MD is a
Anesthesiology physician based in Yreka, California. Gordon Tadewaldt is licensed to practice in California (license number G78660) and his current practice location is 444 Bruce St, Yreka, California. He can be reached at his office (for appointments etc.) via phone at
(530) 842-7297.
NPI number for Gordon Tadewaldt is 1821092735 and his current mailing address is Po Box 1206, Yreka, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821092735.
Physician's Profile
| Full Name | Gordon Tadewaldt |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 444 Bruce St, Yreka, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821092735
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Gordon Tadewaldt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821092735 | NPI | - | NPPES |
| 00G786600 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | G78660 (California) | Primary |
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 Tadewaldt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gordon Tadewaldt, MD
Po Box 1206,
Yreka, CA 96097-1206
Ph: (530) 842-7297 | Gordon Tadewaldt, MD
444 Bruce St,
Yreka, CA 96097-3450
Ph: (530) 842-7297 |
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