Thomas R Van-gorder, MD | |
240 Riverside Dr, Johnson City, NY 13790-2732 | |
(607) 798-9356 | |
(607) 797-1707 |
Full Name | Thomas R Van-gorder |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 42 Years |
Location | 240 Riverside Dr, Johnson City, New York |
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 |
---|---|---|---|
1568486843 | NPI | - | NPPES |
01014626 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 155343-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lourdes At Home Chha | Vestal, NY | Home health agency |
Lourdes Hospital | Binghamton, NY | Hospital |
United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 223 |
Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
Mailing Address | Practice Location Address |
---|---|
Thomas R Van-gorder, MD 240 Riverside Dr, Johnson City, NY 13790-2732 Ph: (607) 798-9356 | Thomas R Van-gorder, MD 240 Riverside Dr, Johnson City, NY 13790-2732 Ph: (607) 798-9356 |
Stephen G Federowicz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707 | |
Kyung In Kim, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707 | |
Mark Vincent Wilson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707 | |
Orest Myroslav Wasyliw, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 Riverside Drive, Johnson City, NY 13790 Phone: 607-729-2474 Fax: 607-770-9271 | |
John Brosnan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707 | |
Dr. Matthew Thomas Bennett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 52 Harrison St, 2nd Fl, Johnson City, NY 13790 Phone: 607-748-7468 Fax: 607-754-6130 |