Gordon Taylor, MD, MBA is a medicare enrolled "Emergency Medicine" physician in Fresh Meadows, New York. His current practice location is
7123 162nd St Apt 1j, Fresh Meadows, New York. You can reach out to his office (for appointments etc.) via phone at
(202) 270-8717.
Gordon Taylor is licensed to practice in District Of Columbia (license number MD043160) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699196204.
Physician's Profile
| Full Name | Gordon Taylor |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 7123 162nd St Apt 1j, Fresh Meadows, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1699196204
- Provider Enumeration Date: 12/27/2013
- Last Update Date: 03/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 6800011925
- Enrollment ID: I20140703002003
Medical Identifiers
Medical identifiers for Gordon Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699196204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | D007251 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | D007251 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | D77251 (Maryland) | Secondary |
| 207P00000X | Emergency Medicine | 0101270838 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | MD043160 (District Of Columbia) | Primary |
| 207P00000X | Emergency Medicine | D0077251 (Maryland) | Secondary |
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. Gordon Taylor allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134117393
PECOS PAC ID: 8022914522
Enrollment ID: O20070919000389 |
|---|
| Entity Name | M Medical Group, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780056168
PECOS PAC ID: 7719278597
Enrollment ID: O20160627000350 |
|---|
| Entity Name | Service Disabled Veterans Oasis |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134825607
PECOS PAC ID: 6507395977
Enrollment ID: O20250130000514 |
|---|
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 Taylor 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 |
|---|
Gordon Taylor, MD, MBA
5237 River Rd Unit 201,
Bethesda, MD 20816-1415
Ph: (202) 270-8717 | Gordon Taylor, MD, MBA
7123 162nd St Apt 1j,
Fresh Meadows, NY 11365-4395
Ph: (202) 270-8717 |
Reviews and Comments