| Gordon Phillips Iv, MD | |
|
420 S 5th Ave, West Reading, PA 19611-2143 | |
| (484) 628-8855 | |
| (484) 628-5064 |
| Full Name | Gordon Phillips Iv |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 420 S 5th Ave, West Reading, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770143125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT219200 (Pennsylvania) | Primary |
| Entity Name | Trivalley Primary Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245295757 PECOS PAC ID: 4981680923 Enrollment ID: O20040629000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Phillips Iv, MD Po Box 13579, Reading, PA 19612-3579 Ph: () - | Gordon Phillips Iv, MD 420 S 5th Ave, West Reading, PA 19611-2143 Ph: (484) 628-8855 |
Aqsaa Chaudhry, Family Medicine Medicare: Medicare Enrolled Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8000 | |
Jacqueline Storer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8855 Fax: 484-628-5064 | |
Arthur Gross Jr., DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8198 Fax: 484-628-8390 | |
Nancy Olinger, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 494-628-3637 | |
Liane Conte, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8855 Fax: 484-628-5064 | |
Lee Radosh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 7th Ave, Suite 200, West Reading, PA 19611 Phone: 610-988-8198 | |
Stephanie Gingrich, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave, West Reading, PA 19611 Phone: 484-628-8855 Fax: 484-628-5064 |