Robert T Gordon, MD | |
4150 5th St, Rapid City, SD 57701-6022 | |
(605) 399-4300 | |
(605) 399-4352 |
Full Name | Robert T Gordon |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 52 Years |
Location | 4150 5th St, Rapid City, South Dakota |
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 |
---|---|---|---|
1588604581 | NPI | - | NPPES |
060031670 | Other | SD | RAILROAD MEDICARE |
4995658 | Other | SD | BLUE CROSS OF SD |
7301930 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5310 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital-santa Clara | Santa clara, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Robert T Gordon, MD 4150 5th St, Rapid City, SD 57701-6022 Ph: (605) 399-4300 | Robert T Gordon, MD 4150 5th St, Rapid City, SD 57701-6022 Ph: (605) 399-4300 |
Paul M Orecchia, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 4150 Fifth Street, Rapid City, SD 57701 Phone: 605-399-4300 Fax: 605-399-4352 | |
Dr. Charan Mungara, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Monument Health Rapid City Hospital, Rapid City, SD 57701 Phone: 205-441-9459 Fax: 605-755-0707 |