Gordon Faulkner, MD is a
Pediatrics physician based in Mount Horeb, Wisconsin. Gordon Faulkner is licensed to practice in Wisconsin (license number 22351) and his current practice location is 2002 E Blue Mounds Rd, Mount Horeb, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 274-9717.
NPI number for Gordon Faulkner is 1942307962 and his current mailing address is 2002 E Blue Mounds Rd, Mount Horeb, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942307962.
Physician's Profile
| Full Name | Gordon Faulkner |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 2002 E Blue Mounds Rd, Mount Horeb, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942307962
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 03/23/2017
Medical Identifiers
Medical identifiers for Gordon Faulkner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942307962 | NPI | - | NPPES |
| 30501900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 22351 (Wisconsin) | 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. Gordon Faulkner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gordon Faulkner, MD
2002 E Blue Mounds Rd,
Mount Horeb, WI 53572-2634
Ph: (608) 274-9717 | Gordon Faulkner, MD
2002 E Blue Mounds Rd,
Mount Horeb, WI 53572-2634
Ph: (608) 274-9717 |
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