Lawrence Jay Gordon, MD is a medicare enrolled "Otolaryngology" physician in Goshen, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 1989 and has 35 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
2004 Route 17m, Goshen, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 294-0661.
Lawrence Jay Gordon is licensed to practice in New York (license number 183723) 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 1811970692.
Physician's Profile
| Full Name | Lawrence Jay Gordon |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 35 Years |
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| Location | 2004 Route 17m, Goshen, New York |
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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:
- Lawrence Jay Gordon attended and graduated from Columbia University College Of Physicians And Surgeons in 1989
NPI Data:
- NPI Number: 1811970692
- Provider Enumeration Date: 11/25/2005
- Last Update Date: 09/20/2013
Medicare PECOS Information:
- PECOS PAC ID: 4688647548
- Enrollment ID: I20040818000756
Medical Identifiers
Medical identifiers for Lawrence Jay Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811970692 | NPI | - | NPPES |
| 116999 | Other | NY | WELLCARE |
| 0182804 | Other | | GHI |
| 040007473 | Other | NY | RAILROAD MEDICARE |
| 3824829 | Other | | OXFORD |
| 384148P | Other | NY | HIP |
| 10035906 | Other | NY | CDPHP |
| 4572033 | Other | NY | AETNA |
| 8M7342 | Other | | BCBS NY |
| 10000172090012 | Other | | AFFINITY HEALTH PLAN |
| 120076 | Other | NY | GHI HMO |
| 01515700 | Medicaid | NY | |
| 047123 | Other | NY | MVP |
| ZE3167 | Other | | HEALTHNET OF NORTHEAST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 183723 (New York) | Secondary |
| 207Y00000X | Otolaryngology | 183723 (New York) | Primary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 183723 (New York) | Secondary |
Medical Facilities Affiliation
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. Lawrence Jay Gordon allows following entities to bill medicare on his behalf.
| Entity Name | Ent Specialty Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841490067
PECOS PAC ID: 9830280874
Enrollment ID: O20070806000782 |
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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. Lawrence Jay 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 |
|---|
Lawrence Jay Gordon, MD
2004 Route 17m,
Goshen, NY 10924-5210
Ph: (845) 294-0661 | Lawrence Jay Gordon, MD
2004 Route 17m,
Goshen, NY 10924-5210
Ph: (845) 294-0661 |
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