Mr Scott S Gordon, PA is a medicare enrolled "Physician Assistant" in Fritch, Texas. His current practice location is
700 West Broadway, Fritch, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 857-2311.
Mr Scott S Gordon is licensed to practice in Texas (license number PA01597) 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 1306003058.
Provider's Profile
| Full Name | Mr Scott S Gordon |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 700 West Broadway, Fritch, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306003058
- Provider Enumeration Date: 05/20/2008
- Last Update Date: 06/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 8729329453
- Enrollment ID: I20190408000798
Medical Identifiers
Medical identifiers for Mr Scott S Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306003058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA01597 (Texas) | 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. Mr Scott S 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 |
|---|
Mr Scott S Gordon, PA
700 West Broadway, Po Box 1570,
Fritch, TX 79036-1570
Ph: (806) 857-2311 | Mr Scott S Gordon, PA
700 West Broadway,
Fritch, TX 79036-1570
Ph: (806) 857-2311 |
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