Gordon Thomas Fahey Jr, MD - Medicare General Surgery in Lodi, CA

  1. Home
  2. Surgery
  3. CA
  4. Lodi
Gordon Thomas Fahey Jr, MD is a medicare enrolled "Surgery" physician in Lodi, California. He went to Medical College Of Georgia School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Marshall Medical Center and his current practice location is 999 S Fairmont Ave, Suite 100, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 334-2010.

Gordon Thomas Fahey Jr is licensed to practice in California (license number A78020) 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 1457323446.

Contact Information

Gordon Thomas Fahey Jr, MD
999 S Fairmont Ave, Suite 100,
Lodi, CA 95240-5100
(209) 334-2010
(209) 334-0132

Map and Direction




Physician's Profile

Full NameGordon Thomas Fahey Jr
GenderMale
SpecialityGeneral Surgery
Experience24 Years
Location999 S Fairmont Ave, Lodi, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gordon Thomas Fahey Jr attended and graduated from Medical College Of Georgia School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1457323446
  • Provider Enumeration Date: 02/03/2006
  • Last Update Date: 05/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860417052
  • Enrollment ID: I20051006000690

Medical Identifiers

Medical identifiers for Gordon Thomas Fahey Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457323446NPI-NPPES
GR0102080MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A78020 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marshall Medical CenterPlacerville, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Marshall Medical Center751787585997

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. Gordon Thomas Fahey Jr allows following entities to bill medicare on his behalf.
Entity NameMarshall Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962506097
PECOS PAC ID: 7517875859
Enrollment ID: O20031208001095
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633

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. Gordon Thomas Fahey Jr 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 AddressPractice Location Address
Gordon Thomas Fahey Jr, MD
999 S Fairmont Ave, Suite 100,
Lodi, CA 95240-5100

Ph: (209) 334-2010		Gordon Thomas Fahey Jr, MD
999 S Fairmont Ave, Suite 100,
Lodi, CA 95240-5100

Ph: (209) 334-2010

Reviews and Comments


Surgery Doctors in Lodi, CA

Dr. Denny Schoch, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240
Phone: 209-334-2010    Fax: 209-334-0132
Dr. Rolando G Simeon, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Ham Ln, Suite E, Lodi, CA 95242
Phone: 209-333-1441    Fax: 209-333-1476
Dr. Michael Ketelaar, M. D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1231 W Vine St, Lodi, CA 95240
Phone: 209-368-7121    Fax: 209-368-5750
Nagui Nabil Sorour, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 999 S Fairmont Ave #100, Lodi, Lodi, CA 95240
Phone: 209-334-2010    Fax: 209-334-0132

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.