| Bruce Roderick Gordon, MD | |
|
65 Cedar St, Hyannis, MA 02601-3009 | |
| (508) 790-0611 | |
| (508) 790-0589 |
| Full Name | Bruce Roderick Gordon |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 65 Cedar St, Hyannis, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467446542 | NPI | - | NPPES |
| 0142514 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 47040 (Massachusetts) | Primary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 47040 (Massachusetts) | Secondary |
| Entity Name | Medical Affiliates Of Cape Cod Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Roderick Gordon, MD 65 Cedar St, Hyannis, MA 02601-3009 Ph: (508) 790-0611 | Bruce Roderick Gordon, MD 65 Cedar St, Hyannis, MA 02601-3009 Ph: (508) 790-0611 |
David Alden Wood, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-0589 | |
Dr. Christopher Ryan Jackson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-9754 | |
Elizabeth R Mclaughlin, N.P. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-0589 | |
Edward Farrow Caldwell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 Fax: 508-790-0589 | |
Courtney Miller, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 65 Cedar St, Hyannis, MA 02601 Phone: 508-790-0611 |