Tracie Gordon, is a
General Practice physician based in Winfield, Kansas. Tracie Gordon is licensed to practice in Kansas (license number 1164606919) and her current practice location is 800 Main St, Winfield, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 221-4772.
NPI number for Tracie Gordon is 1053955153 and her current mailing address is 3 Black Heath Ct, Winfield, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053955153.
Physician's Profile
| Full Name | Tracie Gordon |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 800 Main St, Winfield, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053955153
- Provider Enumeration Date: 10/31/2019
- Last Update Date: 10/31/2019
Medical Identifiers
Medical identifiers for Tracie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053955153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 1164606919 (Kansas) | 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. Tracie Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracie Gordon,
3 Black Heath Ct,
Winfield, KS 67156-6301
Ph: (620) 222-2593 | Tracie Gordon,
800 Main St,
Winfield, KS 67156-2859
Ph: (620) 221-4772 |
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