Dr Laura Sidney Gordon, MD is a medicare enrolled "Urology" physician in Pendleton, Oregon. Her current practice location is
1100 Southgate, Ste 6, Pendleton, Oregon. You can reach out to her office (for appointments etc.) via phone at
(564) 276-6656.
Dr Laura Sidney Gordon is licensed to practice in Oregon (license number MD17630) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962502955.
Physician's Profile
| Full Name | Dr Laura Sidney Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Urology |
|---|
| Location | 1100 Southgate, Pendleton, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962502955
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557326584
- Enrollment ID: I20131002000238
Medical Identifiers
Medical identifiers for Dr Laura Sidney Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962502955 | NPI | - | NPPES |
| 150155 | Medicaid | OR | |
| W1033-01 | Other | OR | PACIFICSOURCE PROVIDER # |
| 340020014 | Other | OR | OR RAILROAD MEDICARE # |
| 2408483-01 | Other | OR | BC/BS OF OR PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | MD17630 (Oregon) | 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 Laura Sidney Gordon 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 Laura Sidney Gordon, MD
1100 Southgate, Ste 6,
Pendleton, OR 97801-3974
Ph: (564) 276-6656 | Dr Laura Sidney Gordon, MD
1100 Southgate, Ste 6,
Pendleton, OR 97801-3974
Ph: (564) 276-6656 |
Reviews and Comments