Dr Gordon Scott Mccreadie, MD is a medicare enrolled "Emergency Medicine" physician in Lake Elsinore, California. His current practice location is
31361 Riverside Dr, Lake Elsinore, California. You can reach out to his office (for appointments etc.) via phone at
(844) 308-5003.
Dr Gordon Scott Mccreadie is licensed to practice in California (license number C173145) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447314570.
Physician's Profile
| Full Name | Dr Gordon Scott Mccreadie |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 31361 Riverside Dr, Lake Elsinore, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447314570
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 03/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749272110
- Enrollment ID: I20171006002033
Medical Identifiers
Medical identifiers for Dr Gordon Scott Mccreadie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447314570 | NPI | - | NPPES |
| 8242513 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 182254 (Oregon) | Secondary |
| 207P00000X | Emergency Medicine | C173145 (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 Gordon Scott Mccreadie allows following entities to bill medicare on his behalf.
| Entity Name | Sky Lakes Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
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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. Dr Gordon Scott Mccreadie 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 Gordon Scott Mccreadie, MD 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (844) 308-5003 | Dr Gordon Scott Mccreadie, MD 31361 Riverside Dr, Lake Elsinore, CA 92530-7807 Ph: (844) 308-5003 |
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