Kenneth B Gordon, MD in Wauwatosa, WI

Kenneth B Gordon, MD is a medicare enrolled "Dermatology" physician in Wauwatosa, Wisconsin. He went to Columbia University College Of Physicians And Surgeons and graduated in 1990 and has 34 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice The Medical College Of Wisconsin Inc, Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and his current practice location is 10000 W Bluemound Rd, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 454-8000.

Kenneth B Gordon is licensed to practice in Wisconsin (license number 66663) 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 1790865806.

Contact Information

	Kenneth B Gordon, MD
	10000 W Bluemound Rd, Wauwatosa, WI 53226-4321
	(414) 454-8000
	(414) 805-3888

Map and Direction

Physician's Profile

Full Name	Kenneth B Gordon
Gender	Male
Speciality	Dermatology
Experience	34 Years
Location	10000 W Bluemound Rd, Wauwatosa, Wisconsin
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:

Kenneth B Gordon attended and graduated from Columbia University College Of Physicians And Surgeons in 1990

NPI Data:

NPI Number: 1790865806
Provider Enumeration Date: 10/16/2006
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 8527098946
Enrollment ID: I20170125001490

Medical Identifiers

Medical identifiers for Kenneth B Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790865806	NPI	-	NPPES
1790865806	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036086146 (Illinois)	Secondary
207N00000X	Dermatology	66663 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Froedtert Memorial Lutheran Hospital	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Medical College Of Wisconsin Inc	2668384371	1736
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc	3678760063	1052

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. Kenneth B Gordon allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Kenneth B Gordon 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
Kenneth B Gordon, MD 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 Ph: (414) 454-8000	Kenneth B Gordon, MD 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 Ph: (414) 454-8000

Reviews and Comments

Dermatology Doctors in Wauwatosa, WI

Julia Marian Kasprzak, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808
Dr. Melanie Anne Clark, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808
Keri Chaney, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808
Keely Marshall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808
Daniel Raymond Knabel, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808
Dr. James H Barnett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 810, Wauwatosa, WI 53226 Phone: 414-771-1122
Dr. Valerie Margaret Carlberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808

Kenneth B Gordon, MD - Medicare Dermatology in Wauwatosa, WI