Gordon Eden, is a
Licensed Practical Nurse based in Roscommon, Michigan. Gordon Eden is licensed to practice in Michigan (license number 4703097029) and his current practice location is
305 N 5th St, Roscommon, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 275-8000.
NPI number for Gordon Eden is 1891216339 and his current mailing address is 5701 Wellington Way, Grayling, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891216339.
Provider's Profile
Full Name | Gordon Eden |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 305 N 5th St, Roscommon, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891216339
- Provider Enumeration Date: 07/06/2017
- Last Update Date: 07/06/2017
Medical Identifiers
Medical identifiers for Gordon Eden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891216339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703097029 (Michigan) | 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. Gordon Eden 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 |
Gordon Eden, 5701 Wellington Way, Grayling, MI 49738-6727 Ph: () - | Gordon Eden, 305 N 5th St, Roscommon, MI 48653-2508 Ph: (989) 275-8000 |
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