Camille Gordon, in San Jose, CA - Medicare Physician Assistant

Camille Gordon, is a medicare enrolled "Physician Assistant" in San Jose, California. Her current practice location is 255 N White Rd Ste 200, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 503-7600.

Camille Gordon is licensed to practice in California (license number 54318) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083780712.

Contact Information

	Camille Gordon,
	255 N White Rd Ste 200, San Jose, CA 95127-1966
	(408) 503-7600
	Not Available

Map and Direction

Provider's Profile

Full Name	Camille Gordon
Gender	Female
Speciality	Physician Assistant
Location	255 N White Rd Ste 200, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083780712
Provider Enumeration Date: 11/27/2006
Last Update Date: 03/24/2019

Medicare PECOS Information:

PECOS PAC ID: 1951381870
Enrollment ID: I20190422000470

Medical Identifiers

Medical identifiers for Camille Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083780712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5214 (California)	Secondary
363A00000X	Physician Assistant	54318 (California)	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. Camille Gordon 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
Camille Gordon, 701 E El Camino Real, Medical Staff Dept., Mountain View, CA 94040-2833 Ph: (408) 739-6000	Camille Gordon, 255 N White Rd Ste 200, San Jose, CA 95127-1966 Ph: (408) 503-7600

Reviews and Comments

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Camille Gordon, - Medicare Physician Assistant in San Jose, CA