| Dr Kali L Gordon, MD, MS | |
|
Pit River Health Service, 150 Bureau Of Indian Affairs #76a, Alturas, CA 96101 | |
| (530) 233-3223 | |
| (530) 233-3296 |
| Full Name | Dr Kali L Gordon |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | Pit River Health Service, Alturas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508106600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 72733 (Georgia) | Primary |
| Entity Name | Wellstreet Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Entity Name | Southern Regional Physicians Management Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
| Entity Name | United Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922579192 PECOS PAC ID: 7113267956 Enrollment ID: O20190314000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kali L Gordon, MD, MS 412 E North St Unit A, Alturas, CA 96101-4072 Ph: (215) 260-8867 | Dr Kali L Gordon, MD, MS Pit River Health Service, 150 Bureau Of Indian Affairs #76a, Alturas, CA 96101 Ph: (530) 233-3223 |
Dr. Edward Paul Richert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 Mcdowell St, Alturas, CA 96101 Phone: 530-233-7052 Fax: 530-233-4302 | |
Dr. Wesley James Stevens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 535 S Main St, 535 S Main St, Alturas, CA 96101 Phone: 530-233-2288 Fax: 530-233-1941 | |
Dr. Jay Lai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N Nagle St, Alturas, CA 96101 Phone: 530-798-8811 | |
Dr. Landin Paul Hagge, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 N Nagle St, Alturas, CA 96101 Phone: 530-708-8800 |