Vincent M Gore, M D is a
General Practice physician based in Chester, Virginia. Vincent M Gore is licensed to practice in Virginia (license number 0101225491) and his current practice location is 12101 S Chalkley Rd, Chester, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 796-3636.
NPI number for Vincent M Gore is 1740255702 and his current mailing address is Po Box 758963, Baltimore, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740255702.
Physician's Profile
| Full Name | Vincent M Gore |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 12101 S Chalkley Rd, Chester, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740255702
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 11/06/2007
Medical Identifiers
Medical identifiers for Vincent M Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740255702 | NPI | - | NPPES |
| 5645093 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101225491 (Virginia) | 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. Vincent M Gore 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 |
|---|
Vincent M Gore, M D
Po Box 758963,
Baltimore, MD 21275-8963
Ph: (804) 822-4355 | Vincent M Gore, M D
12101 S Chalkley Rd,
Chester, VA 23831-3755
Ph: (804) 796-3636 |
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