Thomas W Gore, MD in Grand Rapids, MI - Medicare Emergency Medicine

Thomas W Gore, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 975-1845.

Thomas W Gore is licensed to practice in Michigan (license number 4301099948) 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 1770511701.

Contact Information

	Thomas W Gore, MD
	100 Michigan St Ne, Grand Rapids, MI 49503-2560
	(616) 975-1845
	(616) 285-0846

Map and Direction

Physician's Profile

Full Name	Thomas W Gore
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770511701
Provider Enumeration Date: 06/29/2006
Last Update Date: 11/04/2013

Medicare PECOS Information:

PECOS PAC ID: 4880854991
Enrollment ID: I20120823000034

Medical Identifiers

Medical identifiers for Thomas W Gore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770511701	NPI	-	NPPES
0670028	Other	MI	BCBSM PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD027389E (Pennsylvania)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	4301099948 (Michigan)	Primary

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. Thomas W Gore allows following entities to bill medicare on his behalf.

Entity Name	Ecs Western Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001

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. Thomas W Gore 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
Thomas W Gore, MD 2537 Momentum Pl, Chicago, IL 60689-5325 Ph: (616) 988-8220	Thomas W Gore, MD 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (616) 975-1845

Reviews and Comments

Emergency Medicine Doctors in Grand Rapids, MI

Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846
Andrew Steven Coleman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680
Steven Perry, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 800-968-6866
Colleen M Bush, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680

Thomas W Gore, MD - Medicare Emergency Medicine in Grand Rapids, MI