Gary M Gordon, DPM in Glenside, PA - Medicare Podiatrist Provider

Gary M Gordon, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Glenside, Pennsylvania. His current practice location is 2285 Cross Rd, Glenside, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 887-5910.

Gary M Gordon is licensed to practice in Pennsylvania (license number SC001507L) 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 1689675449.

Contact Information

	Gary M Gordon, DPM
	2285 Cross Rd, Glenside, PA 19038-5023
	(215) 887-5910
	(215) 887-0387

Map and Direction

Healthcare Provider's Profile

Full Name	Gary M Gordon
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	2285 Cross Rd, Glenside, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689675449
Provider Enumeration Date: 08/02/2005
Last Update Date: 03/18/2008

Medicare PECOS Information:

PECOS PAC ID: 5799786695
Enrollment ID: I20110727000059

Medical Identifiers

Medical identifiers for Gary M Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689675449	NPI	-	NPPES
0015356250001	Medicaid	PA
7305038	Other	PA	AETNA
30002264	Other	PA	KEYSTONE MERCY
0060610000	Other	PA	KEYSTONE/AMERIHEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	SC001507L (Pennsylvania)	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. Gary M Gordon allows following entities to bill medicare on his behalf.

Provider Name	Gary M Gordon Dpmpc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659455756 PECOS PAC ID: 9537143979 Enrollment ID: O20040615000375

Provider Name	Gordon Podiatry Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609311034 PECOS PAC ID: 3476839671 Enrollment ID: O20170424000299

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. Gary M 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
Gary M Gordon, DPM 2285 Cross Rd, Glenside, PA 19038-5023 Ph: (215) 887-5910	Gary M Gordon, DPM 2285 Cross Rd, Glenside, PA 19038-5023 Ph: (215) 887-5910

Reviews and Comments

Podiatrist in Glenside, PA

Alexa Ray Santomero, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387
Gordon Podiatry, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387
Dr. Nekeisha Alexander Abdul-hakim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 805 E Willow Grove Ave Ste 1b, Glenside, PA 19038 Phone: 215-844-0308 Fax: 215-844-0370
Gary M Gordon Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387
Alexander Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 805 E Willow Grove Ave Ste 1b, Glenside, PA 19038 Phone: 215-844-0308
Dr. Alicia Anne Canzanese, DPM, ATC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387

Gary M Gordon, DPM - Medicare Podiatrist in Glenside, PA