Paul Anthony Gordon, MD | |
124a Professional Park Dr, Conway, SC 29526-9260 | |
(843) 347-9500 | |
(843) 347-9595 |
Full Name | Paul Anthony Gordon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 124a Professional Park Dr, Conway, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215931936 | NPI | - | NPPES |
GP4505 | Medicaid | SC | |
1244Q | Other | NC | NC BLUE CROSS BLUE SHIELD |
891244Q | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9901642 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 21465 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeastern Regional Medical Center | Lumberton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Robeson Hospitalist Group Pllc | 2567898430 | 31 |
Entity Name | Robeson Hospitalist Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336782507 PECOS PAC ID: 2567898430 Enrollment ID: O20200212002903 |
Mailing Address | Practice Location Address |
---|---|
Paul Anthony Gordon, MD 124a Professional Park Dr, Conway, SC 29526-9260 Ph: (843) 347-9500 | Paul Anthony Gordon, MD 124a Professional Park Dr, Conway, SC 29526-9260 Ph: (843) 347-9500 |
Jason C Sharp, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr Ste 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Joseph J Papotto Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 Professional Park Dr Unit A, Conway, SC 29526 Phone: 843-347-4900 Fax: 843-347-4901 | |
Betty A Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1608 N Main Street, Conway, SC 29526 Phone: 843-386-3573 Fax: 843-386-2617 | |
Franziska C. W. Phillips, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8002 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-347-7227 Fax: 843-347-7232 | |
Jonathan L Dieter Jr., MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 8014 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-347-7224 Fax: 843-347-7335 | |
Artur Wilkoszewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Conway, SC 29526 Phone: 843-248-6269 Fax: 843-248-0535 |