| Gordon M Thomas, DO | |
|
79 North St, Granville Family Health Center, Granville, NY 12832-1137 | |
| (518) 642-0612 | |
| (518) 642-0693 |
| Full Name | Gordon M Thomas |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 79 North St, Granville, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083665582 | NPI | - | NPPES |
| P00312976 | Other | NY | RR MEDICARE |
| 00467116 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 140385 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| High Peaks Hospice And Palliative Care, Inc | Saranac lake, NY | Hospice |
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glens Falls Hospital Inc | 8325955974 | 147 |
| Entity Name | Glens Falls Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336198217 PECOS PAC ID: 8325955974 Enrollment ID: O20031103000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon M Thomas, DO 100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-0304 Ph: (518) 926-5924 | Gordon M Thomas, DO 79 North St, Granville Family Health Center, Granville, NY 12832-1137 Ph: (518) 642-0612 |
Dr. Michael Lynch, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Quaker St, Granville, NY 12832 Phone: 518-642-2872 | |
Dr. Timothy G Cook, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 79 North St, Granville, NY 12832 Phone: 518-642-0612 Fax: 518-642-0693 |