Kilbourn Gordon Iii, MD is a medicare enrolled "General Practice" physician in Bridgeport, Connecticut. He went to New York Medical College and graduated in 1983 and has 41 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Urgent Care Medical Associates, Llc and his current practice location is
226 Mill Hill Ave, 3rd Floor, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 384-3394.
Kilbourn Gordon Iii is licensed to practice in Connecticut (license number 038689) 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 1952455693.
Physician's Profile
| Full Name | Kilbourn Gordon Iii |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 41 Years |
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| Location | 226 Mill Hill Ave, Bridgeport, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kilbourn Gordon Iii attended and graduated from New York Medical College in 1983
NPI Data:
- NPI Number: 1952455693
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 06/02/2008
Medicare PECOS Information:
- PECOS PAC ID: 4688747975
- Enrollment ID: I20080721000002
Medical Identifiers
Medical identifiers for Kilbourn Gordon Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952455693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 038689 (Connecticut) | Secondary |
| 208D00000X | General Practice | 038689 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Urgent Care Medical Associates, Llc | 7214107515 | 104 |
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. Kilbourn Gordon Iii allows following entities to bill medicare on his behalf.
| Entity Name | Urgent Care Medical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730479254
PECOS PAC ID: 7214107515
Enrollment ID: O20111018000344 |
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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. Kilbourn Gordon Iii 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 |
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Kilbourn Gordon Iii, MD
Po Box 415126, Mill Hill Medical Consultants, Inc.,
Boston, MA 02241-0001
Ph: (203) 384-3394 | Kilbourn Gordon Iii, MD
226 Mill Hill Ave, 3rd Floor,
Bridgeport, CT 06610-2826
Ph: (203) 384-3394 |
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