Jeffrey Gordon, MD | |
340 Bagley Circle, Marion, VA 24354 | |
(276) 783-1200 | |
Not Available |
Full Name | Jeffrey Gordon |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 340 Bagley Circle, Marion, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225088859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0101228765 (Virginia) | Primary |
Entity Name | Southwestern Virginia Mental Health Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912964347 PECOS PAC ID: 3577571041 Enrollment ID: O20060324000094 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Gordon, MD 340 Bagley Cir, Marion, VA 24354 Ph: (276) 783-2430 | Jeffrey Gordon, MD 340 Bagley Circle, Marion, VA 24354 Ph: (276) 783-1200 |
Dr. Jonathan Gentry Crisp, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 340 Bagley Cir, Marion, VA 24354 Phone: 276-783-1226 Fax: 276-783-1425 | |
Dr. Henrike Brinker, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 340 Bagley Cir, Marion, VA 24354 Phone: 276-783-1200 Fax: 276-783-9712 | |
Evan Michael Grant, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 340 Bagley Cir, Southwestern Virginia Mental Health Institute, Marion, VA 24354 Phone: 276-783-1200 | |
Dr. Jagdeep Singh Wander, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 340 Bagley Cir, Marion, VA 24354 Phone: 276-783-1200 |