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

Gordon Thomas Fahey Jr, MD is a medicare enrolled "Surgery" physician in Lodi, California. He went to Medical College Of Georgia School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Marshall Medical Center and 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	General Surgery
Experience	24 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 Medical College Of Georgia School Of Medicine in 2000

NPI Data:

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

Medicare PECOS Information:

PECOS PAC ID: 2860417052
Enrollment ID: I20051006000690

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marshall Medical Center	Placerville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marshall Medical Center	7517875859	94

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 Thomas Fahey Jr allows following entities to bill medicare on his behalf.

Entity Name	Marshall Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962506097 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

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 General Surgery in Lodi, CA