Otis T Gordon, MD in Little Rock, AR - Medicare Gastroenterology

Otis T Gordon, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Little Rock, Arkansas. He went to Emory University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice St Vincent Medical Group and his current practice location is 417 N University Ave, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 666-0249.

Otis T Gordon is licensed to practice in Arkansas (license number E4082) 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 1851355218.

Contact Information

	Otis T Gordon, MD
	417 N University Ave, Little Rock, AR 72205-3108
	(501) 666-0249
	(501) 666-4340

Map and Direction

Physician's Profile

Full Name	Otis T Gordon
Gender	Male
Speciality	Gastroenterology
Experience	25 Years
Location	417 N University Ave, Little Rock, Arkansas
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:

Otis T Gordon attended and graduated from Emory University School Of Medicine in 1999

NPI Data:

NPI Number: 1851355218
Provider Enumeration Date: 04/13/2006
Last Update Date: 12/17/2012

Medicare PECOS Information:

PECOS PAC ID: 2466407580
Enrollment ID: I20050413001272

Medical Identifiers

Medical identifiers for Otis T Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851355218	NPI	-	NPPES
P00348668	Other	AR	RAIL ROAD MEDICARE
03120019200	Other	AR	QUALCHOICE
156781001	Medicaid	AR
5N145	Other	AR	BLUE CROSS BLUE SHIELD
7867673	Other	AR	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	E4082 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi-st Vincent Infirmary	Little rock, AR	Hospital
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Medical Group	5698758803	204

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. Otis T Gordon allows following entities to bill medicare on his behalf.

Entity Name	St Vincent Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224

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. Otis T 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
Otis T Gordon, MD 417 N University Ave, Little Rock, AR 72205-3108 Ph: (501) 666-0249	Otis T Gordon, MD 417 N University Ave, Little Rock, AR 72205-3108 Ph: (501) 666-0249

Reviews and Comments

Internal Medicine Doctors in Little Rock, AR

Lonnie E Harrison, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-664-5860 Fax: 501-664-0889
Muthu Veera Kumaran, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-6033 Fax: 501-686-8932
Tanvi Harishbhai Patel, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 508, Little Rock, AR 72205 Phone: 501-686-7105 Fax: 501-526-5906
Gaurav Dhar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Anthony R Giglia Iii, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5800 W 10th St, Ste 610 Freeway Medical Center, Little Rock, AR 72204 Phone: 501-661-9393 Fax: 501-663-4795
Brian Bean, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: #2 St Vincent Circle, Little Rock, AR 72205 Phone: 501-552-3592 Fax: 501-552-4129
Joseph Wayne Forney Sr., M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-614-3606 Fax: 501-663-5017

Otis T Gordon, MD - Medicare Gastroenterology in Little Rock, AR