Dr Vicki R Gordon, MD PHD in Crescent City, CA

Dr Vicki R Gordon, MD PHD is a medicare enrolled "Internal Medicine" physician in Crescent City, California. Her current practice location is 550 E Washington Blvd, Crescent City, California. You can reach out to her office (for appointments etc.) via phone at (707) 496-5465.

Dr Vicki R Gordon is licensed to practice in California (license number C127825) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881613396.

Contact Information

	Dr Vicki R Gordon, MD PHD
	550 E Washington Blvd, Crescent City, CA 95531-8160
	(707) 496-5465
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vicki R Gordon
Gender	Female
Speciality	Internal Medicine
Location	550 E Washington Blvd, Crescent City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881613396
Provider Enumeration Date: 07/18/2006
Last Update Date: 04/20/2020

Medicare PECOS Information:

PECOS PAC ID: 2365458718
Enrollment ID: I20160321002259

Medical Identifiers

Medical identifiers for Dr Vicki R Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881613396	NPI	-	NPPES
149719	Other		UPIN NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301083013 (Michigan)	Secondary
207R00000X	Internal Medicine	127825 (California)	Secondary
207R00000X	Internal Medicine	C127825 (California)	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. Dr Vicki R Gordon allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149

Entity Name	Tiburcio Vasquez Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851389696 PECOS PAC ID: 6608764709 Enrollment ID: O20040309001428

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 Vicki R 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 Vicki R Gordon, MD PHD 4182 W Broadway Apt B, Hawthorne, CA 90250-4092 Ph: (310) 956-6842	Dr Vicki R Gordon, MD PHD 550 E Washington Blvd, Crescent City, CA 95531-8160 Ph: (707) 496-5465

Reviews and Comments

Internal Medicine Doctors in Crescent City, CA

Matthew Charles Blundell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1771 Northcrest Dr, Crescent City, CA 95531 Phone: 707-465-8666 Fax: 707-465-8650
Dr. Gregg Lewis Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E Washington Blvd, Suite 100, Crescent City, CA 95531 Phone: 707-826-8633
Donald Wililam Micheletti, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1771 Northcrest Dr, Crescent City, CA 95531 Phone: 707-465-8666 Fax: 707-465-6166
Ashkan Samie, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Washington Blvd, Crescent City, CA 95531 Phone: 707-464-8511
Albena Dimitrova, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1771 Northcrest Dr, Crescent City, CA 95531 Phone: 707-465-8666 Fax: 707-465-8650

Dr Vicki R Gordon, MD PHD - Medicare Internal Medicine in Crescent City, CA