Scott William Gordon, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Pratt, Kansas. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Pratt Regional Medical Center Corporation and his current practice location is
203 Watson St Ste 300, Pratt, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 672-1002.
Scott William Gordon is licensed to practice in Kansas (license number 1200396) 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 1164745824.
Healthcare Provider's Profile
| Full Name | Scott William Gordon |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 15 Years |
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| Location | 203 Watson St Ste 300, Pratt, Kansas |
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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:
- Scott William Gordon graduated from medical school in 2009
NPI Data:
- NPI Number: 1164745824
- Provider Enumeration Date: 03/10/2010
- Last Update Date: 03/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375790223
- Enrollment ID: I20130805000691
Medical Identifiers
Medical identifiers for Scott William Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164745824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 345 (New Mexico) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0738 (Arizona) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1200396 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pratt Regional Medical Center Corporation | 1355253238 | 34 |
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. Scott William Gordon allows following entities to bill medicare on his behalf.
| Provider Name | Pratt Regional Medical Center Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1578596904
PECOS PAC ID: 1355253238
Enrollment ID: O20040419001344 |
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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. Scott William 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 |
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Scott William Gordon, DPM
203 Watson St Ste 300,
Pratt, KS 67124-3092
Ph: (620) 672-1002 | Scott William Gordon, DPM
203 Watson St Ste 300,
Pratt, KS 67124-3092
Ph: (620) 672-1002 |
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