Gordon D Holden, PT is a medicare enrolled "Physical Therapist" provider in Mounds, Illinois. He went to Saint Louis University School Of Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
120 N Front St, Cairo Rehab & Fit For Golf Inc, Mounds, Illinois. You can reach out to his office (for appointments etc.) via phone at
(304) 363-7000.
Gordon D Holden is licensed to practice in Illinois (license number 070-007952) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316038938.
Healthcare Provider's Profile
Full Name | Gordon D Holden |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 32 Years |
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Location | 120 N Front St, Mounds, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Gordon D Holden attended and graduated from Saint Louis University School Of Medicine in 1993
NPI Data:
- NPI Number: 1316038938
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 03/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 4082698550
- Enrollment ID: I20040614001557
Medical Identifiers
Medical identifiers for Gordon D Holden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316038938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070-007952 (Illinois) | 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 D Holden allows following entities to bill medicare on his behalf.
Provider Name | Cairo Rehab & Fit Fore Golf Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1144418138 PECOS PAC ID: 7618922279 Enrollment ID: O20050316000474 |
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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 D Holden 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 D Holden, PT 120 N Front St, Cairo Rehab & Fit For Golf Inc, Mounds, IL 62964-1022 Ph: (304) 363-7000 | Gordon D Holden, PT 120 N Front St, Cairo Rehab & Fit For Golf Inc, Mounds, IL 62964-1022 Ph: (304) 363-7000 |
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