Gordon Keith Ross, is a medicare enrolled "Nurse Practitioner - Family" in Knox City, Texas. His current practice location is
701 Se 5th St, Knox City, Texas. You can reach out to his office (for appointments etc.) via phone at
(940) 657-3535.
Gordon Keith Ross is licensed to practice in Texas (license number 662304) 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 1891961298.
Provider's Profile
Full Name | Gordon Keith Ross |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 701 Se 5th St, Knox City, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891961298
- Provider Enumeration Date: 05/06/2008
- Last Update Date: 01/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 5294033361
- Enrollment ID: I20160406001775
Medical Identifiers
Medical identifiers for Gordon Keith Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891961298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 662304 (Texas) | Secondary |
163WD0400X | Registered Nurse - Diabetes Educator | 662304 (Texas) | Secondary |
163WE0003X | Registered Nurse - Emergency | 662304 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 662304 (Texas) | 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. Gordon Keith Ross allows following entities to bill medicare on his behalf.
Entity Name | Emergency Medicine Services Of Tx Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
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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 Keith Ross 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 |
Gordon Keith Ross, Po Box 608, Knox City, TX 79529-0608 Ph: (940) 657-3535 | Gordon Keith Ross, 701 Se 5th St, Knox City, TX 79529-0608 Ph: (940) 657-3535 |
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