Dr Gordon E Van Tassell, DO is a medicare enrolled "Family Medicine" physician in Hollywood, California. His current practice location is
1300 N La Brea Ave, Hollywood, California. You can reach out to his office (for appointments etc.) via phone at
(323) 464-1336.
Dr Gordon E Van Tassell is licensed to practice in California (license number 20A6929) 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 1104864024.
Physician's Profile
| Full Name | Dr Gordon E Van Tassell |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1300 N La Brea Ave, Hollywood, California |
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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:
- Dr Gordon E Van Tassell attended and graduated from in
NPI Data:
- NPI Number: 1104864024
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Gordon E Van Tassell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104864024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20A6929 (California) | Primary |
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 E Van Tassell 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 E Van Tassell, DO
1300 N La Brea Ave,
Hollywood, CA 90028-7504
Ph: (323) 464-1336 | Dr Gordon E Van Tassell, DO
1300 N La Brea Ave,
Hollywood, CA 90028-7504
Ph: (323) 464-1336 |
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