| Dr Dudley R Gordon, MD | |
|
8105 Adams Dr, Hummelstown, PA 17036-8625 | |
| (717) 652-1211 | |
| (717) 652-4948 |
| Full Name | Dr Dudley R Gordon |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8105 Adams Dr, Hummelstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245298074 | NPI | - | NPPES |
| 0009053290003 | Medicaid | PA | |
| 5126044 | Other | PA | AETNA |
| 50070215 | Other | PA | CBC/CAIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD022169E (Pennsylvania) | Primary |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dudley R Gordon, MD 409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612 Ph: (717) 564-5400 | Dr Dudley R Gordon, MD 8105 Adams Dr, Hummelstown, PA 17036-8625 Ph: (717) 652-1211 |
Joseph Franklin Thomas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 655 Hershey Rd, Hummelstown, PA 17036 Phone: 717-566-3796 | |
Todd Richard Fisher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E Main St, Hummelstown, PA 17036 Phone: 717-566-1100 Fax: 717-566-0600 | |
Sean Patrick Rhoads, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 E Main St, Hummelstown, PA 17036 Phone: 717-566-1100 Fax: 717-566-0600 | |
Dr. John E Muscalus Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 655 Hershey Rd, Hummelstown, PA 17036 Phone: 717-566-3796 Fax: 717-566-0576 | |
Dr. Marko Adam Miljkovic, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1440 Deerfield Dr, Hummelstown, PA 17036 Phone: 717-566-6670 | |
Timothy W Warren, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 300 E Main St, Hummelstown, PA 17036 Phone: 717-566-1100 Fax: 717-566-0600 |