Dr Gordon E Fosdick, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Middlefield, Connecticut. His current practice location is
470 Main St, Middlefield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 349-8500.
Dr Gordon E Fosdick is licensed to practice in Connecticut (license number 00723) 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 1740206192.
Healthcare Provider's Profile
| Full Name | Dr Gordon E Fosdick |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 470 Main St, Middlefield, Connecticut |
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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. |
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Medical Education and Training:
- Dr Gordon E Fosdick attended and graduated from in
NPI Data:
- NPI Number: 1740206192
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 06/26/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Gordon E Fosdick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740206192 | NPI | - | NPPES |
| 000723 | Other | CT | CONNECTICARE |
| 030000723CT05 | Other | CT | BLUE CROSS BLUE SHIELD |
| 004206951 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0131X | Podiatrist - Foot Surgery | 00723 (Connecticut) | 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 Gordon E Fosdick 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 Gordon E Fosdick, DPM
196 Parkway S, Suite 304,
Waterford, CT 06385-1234
Ph: (860) 442-7027 | Dr Gordon E Fosdick, DPM
470 Main St,
Middlefield, CT 06455-1210
Ph: (860) 349-8500 |
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