Dr Gordon Stacey Wood, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Logan, Utah. He went to George Washington University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Living Tree Medical Group and his current practice location is
1219 N 400 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 565-6043.
Dr Gordon Stacey Wood is licensed to practice in Utah (license number 185282-1205) 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 1255328969.
Physician's Profile
| Full Name | Dr Gordon Stacey Wood |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 41 Years |
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| Location | 1219 N 400 E, Logan, Utah |
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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 Stacey Wood attended and graduated from George Washington University School Of Medicine in 1983
NPI Data:
- NPI Number: 1255328969
- Provider Enumeration Date: 09/29/2005
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052334588
- Enrollment ID: I20060110000898
Medical Identifiers
Medical identifiers for Dr Gordon Stacey Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255328969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 185282-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Living Tree Medical Group | 5294128963 | 6 |
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 Stacey Wood allows following entities to bill medicare on his behalf.
| Entity Name | Living Tree Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639754583
PECOS PAC ID: 5294128963
Enrollment ID: O20220202001670 |
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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 Stacey Wood 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 |
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Dr Gordon Stacey Wood, MD
2380 N 400 E, Suite #d,
North Logan, UT 84341-1749
Ph: (435) 753-7880 | Dr Gordon Stacey Wood, MD
1219 N 400 E,
Logan, UT 84341-2321
Ph: (435) 565-6043 |
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