Kimberly L Gordon, MD in Fort Worth, TX - Medicare Emergency Medicine

Kimberly L Gordon, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Fort Worth, Texas. Her current practice location is 801 7th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-4095.

Kimberly L Gordon is licensed to practice in Texas (license number J8556) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629180179.

Contact Information

	Kimberly L Gordon, MD
	801 7th Ave, Fort Worth, TX 76104-2733
	(682) 885-4095
	(682) 885-7499

Map and Direction

Physician's Profile

Full Name	Kimberly L Gordon
Gender	Female
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	801 7th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629180179
Provider Enumeration Date: 08/31/2006
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 2163694514
Enrollment ID: I20111007000482

Medical Identifiers

Medical identifiers for Kimberly L Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629180179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	J8556 (Texas)	Primary

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. Kimberly L Gordon allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Kimberly L 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
Kimberly L Gordon, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	Kimberly L Gordon, MD 801 7th Ave, Fort Worth, TX 76104-2733 Ph: (682) 885-4095

Reviews and Comments

Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112 Phone: 713-858-4684
Joey Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 214-712-2074 Fax: 214-712-2444
Don Stewart Harper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112 Phone: 817-507-1770 Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4095 Fax: 682-885-7499
Lacey A Mcdaniel, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133 Phone: 817-346-1925 Fax: 817-292-7237
Dr. Rafael Andres Raya, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-639-1000
Mr. Karim S Jamal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 S. Freeway, Fort Worth, TX 76134 Phone: 817-293-9110

Kimberly L Gordon, MD - Medicare Emergency Medicine in Fort Worth, TX