Dr Gordon S Lum, MD | |
4605 Nantucket Dr, Redding, CA 96001-5844 | |
(530) 945-0906 | |
(530) 776-5636 |
Full Name | Dr Gordon S Lum |
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Gender | Male |
Speciality | Family Medicine |
Location | 4605 Nantucket Dr, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902830359 | NPI | - | NPPES |
00G556230 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G55623 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Yosemite Valley Medical Services, A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750758488 PECOS PAC ID: 8325349442 Enrollment ID: O20151215001672 |
Mailing Address | Practice Location Address |
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Dr Gordon S Lum, MD 4605 Nantucket Dr, Redding, CA 96001-5844 Ph: (530) 945-0906 | Dr Gordon S Lum, MD 4605 Nantucket Dr, Redding, CA 96001-5844 Ph: (530) 945-0906 |
Allen Krohn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1756 Continental St, Redding, CA 96001 Phone: 530-244-4772 | |
Alissa Goodwin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2510 Airpark Dr Ste 201, Redding, CA 96001 Phone: 530-244-4034 | |
Dr. Randall James Lankford, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5814 Old Barn Way, Redding, CA 96001 Phone: 530-246-3620 | |
Shane Matthew Swanson, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1093 Hilltop Dr, Redding, CA 96003 Phone: 530-221-1565 Fax: 530-221-3912 | |
John M Kimple, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2510 Airpark Dr, Suite 201, Redding, CA 96001 Phone: 530-244-4034 Fax: 530-244-1821 | |
Dr. James R. Bennie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1441 Liberty St Ste 201, Redding, CA 96001 Phone: 530-226-1721 Fax: 530-224-2742 | |
John D Pearson, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 2111 Airpark Dr, Redding, CA 96001 Phone: 530-247-3733 Fax: 530-246-0644 |