Dr Jonathan Gordon, PHARMD, DDS is a medicare enrolled "Dentist" provider in Baytown, Texas. His current practice location is
1250 Garth Rd, Baytown, Texas. You can reach out to his office (for appointments etc.) via phone at
(832) 572-5820.
Dr Jonathan Gordon is licensed to practice in Florida (license number DN23865) 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 1720322852.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Gordon |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 1250 Garth Rd, Baytown, 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: 1720322852
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 03/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739417304
- Enrollment ID: I20190820003104
Medical Identifiers
Medical identifiers for Dr Jonathan Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720322852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 13654 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 39533 (Texas) | Secondary |
| 183500000X | Pharmacist | 024929 (Georgia) | Secondary |
| 122300000X | Dentist | DN23865 (Florida) | 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. Dr Jonathan 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 |
|---|
Dr Jonathan Gordon, PHARMD, DDS
7345 Bristol Cir,
Naples, FL 34120-0696
Ph: (678) 200-0569 | Dr Jonathan Gordon, PHARMD, DDS
1250 Garth Rd,
Baytown, TX 77520-2423
Ph: (832) 572-5820 |
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