Gordon Thomas Fahey Jr, MD in Lodi, CA

Gordon Thomas Fahey Jr, MD is a medicare enrolled "Surgery" physician in Lodi, California. His current practice location is 999 S Fairmont Ave, Suite 100, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 334-2010.

Gordon Thomas Fahey Jr is licensed to practice in California (license number A78020) 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 1457323446.

Contact Information

	Gordon Thomas Fahey Jr, MD
	999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100
	(209) 334-2010
	(209) 334-0132

Map and Direction

Physician's Profile

Full Name	Gordon Thomas Fahey Jr
Gender	Male
Speciality
Experience	Years
Location	999 S Fairmont Ave, Lodi, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gordon Thomas Fahey Jr attended and graduated from in

NPI Data:

NPI Number: 1457323446
Provider Enumeration Date: 02/03/2006
Last Update Date: 05/02/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Gordon Thomas Fahey Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457323446	NPI	-	NPPES
GR0102080	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A78020 (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 Thomas Fahey 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
Gordon Thomas Fahey Jr, MD 999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100 Ph: (209) 334-2010	Gordon Thomas Fahey Jr, MD 999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100 Ph: (209) 334-2010

Reviews and Comments

Surgery Doctors in Lodi, CA

Dr. Denny Schoch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132
Dr. Tony M Chang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 S Ham Ln Ste E, Lodi, CA 95242 Phone: 209-333-1441 Fax: 209-333-1476
Dr. Rolando G Simeon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 S Ham Ln, Suite E, Lodi, CA 95242 Phone: 209-333-1441 Fax: 209-333-1476
Dr. Michael Ketelaar, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1231 W Vine St, Lodi, CA 95240 Phone: 209-368-7121 Fax: 209-368-5750
Nagui Nabil Sorour, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave #100, Lodi, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132

Gordon Thomas Fahey Jr, MD - Medicare in Lodi, CA