Dr Marvin Isaac Gordon, MD is a medicare enrolled "Ophthalmology" physician in Lakewood, California. He went to University Of California, San Diego School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice New Vision Eye Center, Llc and his current practice location is
3300 E South St Ste 207, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at
(562) 602-5503.
Dr Marvin Isaac Gordon is licensed to practice in California (license number A83747) 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 1386860575.
Physician's Profile
| Full Name | Dr Marvin Isaac Gordon |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 31 Years |
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| Location | 3300 E South St Ste 207, Lakewood, 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 Marvin Isaac Gordon attended and graduated from University Of California, San Diego School Of Medicine in 1994
NPI Data:
- NPI Number: 1386860575
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 11/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416906342
- Enrollment ID: I20191216000272
Medical Identifiers
Medical identifiers for Dr Marvin Isaac Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386860575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | A83747 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New Vision Eye Center, Llc | 8123171741 | 7 |
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 Marvin Isaac Gordon allows following entities to bill medicare on his behalf.
| Entity Name | New Vision Eye Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255568879
PECOS PAC ID: 8123171741
Enrollment ID: O20090729000849 |
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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 Marvin Isaac 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 |
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Dr Marvin Isaac Gordon, MD
163 N Formosa Ave,
Los Angeles, CA 90036-2817
Ph: (310) 622-3600 | Dr Marvin Isaac Gordon, MD
3300 E South St Ste 207,
Lakewood, CA 90805-4549
Ph: (562) 602-5503 |
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