Mr Gordon Tagge, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Chelan, Washington. His current practice location is
503 E Highland Ave, Chelan, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 682-8517.
Mr Gordon Tagge is licensed to practice in Washington (license number MD00034338) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174591333.
Physician's Profile
Full Name | Mr Gordon Tagge |
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Gender | Male |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 503 E Highland Ave, Chelan, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174591333
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214829209
- Enrollment ID: I20040924000434
Medical Identifiers
Medical identifiers for Mr Gordon Tagge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174591333 | NPI | - | NPPES |
1115781 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | MD00034338 (Washington) | 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. Mr Gordon Tagge allows following entities to bill medicare on his behalf.
Entity Name | Okanogan Douglas County Hospital Dist 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205942257 PECOS PAC ID: 7810882792 Enrollment ID: O20040219000122 |
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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. Mr Gordon Tagge 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 |
Mr Gordon Tagge, MD 503 E Highland Ave, Chelan, WA 98816-8631 Ph: (509) 682-8517 | Mr Gordon Tagge, MD 503 E Highland Ave, Chelan, WA 98816-8631 Ph: (509) 682-8517 |
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