Dr Paul James Gordon, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Chicago Ridge, Illinois. His current practice location is
10604 Southwest Hwy Ste 101, Chicago Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 346-4065.
Dr Paul James Gordon is licensed to practice in Illinois (license number 036095321) 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 1356341994.
Physician's Profile
| Full Name | Dr Paul James Gordon |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 10604 Southwest Hwy Ste 101, Chicago Ridge, Illinois |
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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 Paul James Gordon attended and graduated from in
NPI Data:
- NPI Number: 1356341994
- Provider Enumeration Date: 07/26/2005
- Last Update Date: 11/05/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Paul James Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356341994 | NPI | - | NPPES |
| 036095321 | Medicaid | IL | |
| 200144230F | Medicaid | IN | |
| 200144230C | Medicaid | IN | |
| 1356341994 | Medicaid | MI | |
| 200144230A | Medicaid | IN | |
| 200144230B | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01046920A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036095321 (Illinois) | 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 Paul James 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 Paul James Gordon, MD
10604 Southwest Hwy Ste 101,
Chicago Ridge, IL 60415-2704
Ph: (708) 346-4065 | Dr Paul James Gordon, MD
10604 Southwest Hwy Ste 101,
Chicago Ridge, IL 60415
Ph: (708) 346-4065 |
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