Randall Jay Gordon, MD - Medicare Obstetrics & Gynecology in Blue Island, IL

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Randall Jay Gordon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Blue Island, Illinois. His current practice location is 2320 High St, Blue Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 388-5500.

Randall Jay Gordon is licensed to practice in Illinois (license number 036070173) 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 1174512925.

Contact Information

Randall Jay Gordon, MD
2320 High St,
Blue Island, IL 60406-2426
(708) 388-5500
(708) 388-5672

Map and Direction




Physician's Profile

Full NameRandall Jay Gordon
GenderMale
SpecialityObstetrics & Gynecology
Location2320 High St, Blue Island, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174512925
  • Provider Enumeration Date: 10/14/2005
  • Last Update Date: 01/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0749279743
  • Enrollment ID: I20100605000207

Medical Identifiers

Medical identifiers for Randall Jay Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174512925NPI-NPPES
036070173MedicaidIL
160036380OtherILRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036070173 (Illinois)Primary

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. Randall Jay 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 AddressPractice Location Address
Randall Jay Gordon, MD
2320 High St,
Blue Island, IL 60406-2426

Ph: (708) 388-5500		Randall Jay Gordon, MD
2320 High St,
Blue Island, IL 60406-2426

Ph: (708) 388-5500

Reviews and Comments


Obstetrics & Gynecology Doctors in Blue Island, IL

Miyoung Won, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672
Alfonso Mejia-zelaya, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672
Dr. David Vallejo Jr., M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 13000 Maple Ave, Blue Island, IL 60406
Phone: 708-385-6100    Fax: 708-385-2051
Alfonso Delgranado, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 13000 Maple Ave, Blue Island, IL 60406
Phone: 708-385-6100    Fax: 708-385-2051
Angela I Risser, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.