Zachary Van Gorder, PA is a medicare enrolled "Physician Assistant - Medical" in Parish, New York. His current practice location is
10 Carlton Dr, Parish, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 625-4388.
Zachary Van Gorder is licensed to practice in New York (license number 027726) 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 1033876354.
Provider's Profile
Full Name | Zachary Van Gorder |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 10 Carlton Dr, Parish, New York |
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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: 1033876354
- Provider Enumeration Date: 11/22/2021
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850781527
- Enrollment ID: I20211213000650
Medical Identifiers
Medical identifiers for Zachary Van Gorder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033876354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 027726 (New York) | 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. Zachary Van Gorder 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 |
Zachary Van Gorder, PA 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6569 | Zachary Van Gorder, PA 10 Carlton Dr, Parish, NY 13131-3308 Ph: (315) 625-4388 |
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