Dr Ryan Douglas Gordon, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Richmond, Virginia. His current practice location is
1200 E Broad St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 828-3211.
Dr Ryan Douglas Gordon is licensed to practice in * (Not Available) (license number ) 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 1265963367.
Physician's Profile
| Full Name | Dr Ryan Douglas Gordon |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1200 E Broad St, Richmond, Virginia |
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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: 1265963367
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729356548
- Enrollment ID: I20170621000017
Medical Identifiers
Medical identifiers for Dr Ryan Douglas Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265963367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 0101278782 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Ryan Douglas 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 Ryan Douglas Gordon,
8079 Perrincrest Pl,
Mechanicsville, VA 23116-3987
Ph: (804) 814-3601 | Dr Ryan Douglas Gordon,
1200 E Broad St,
Richmond, VA 23298-5025
Ph: (804) 828-3211 |
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