| Katherine Lopez Gordillo, MD | |
|
525 Technology Park Ste 109, Lake Mary, FL 32746-7107 | |
| (407) 647-2346 | |
| Not Available |
| Full Name | Katherine Lopez Gordillo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 525 Technology Park Ste 109, Lake Mary, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073999504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D89966 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | ME171651 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Good Samaritan Hospital | Baltimore, MD | Hospital |
| Gsnh Operator, Llc | Baltimore, MD | Nursing home |
| Patapsco Health And Rehabilitation | Randallstown, MD | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maryland Medical First Pa | 1850329715 | 25 |
| Maryland Medical First Pa | 1850329715 | 25 |
| Entity Name | Maryland Medical First Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013005016 PECOS PAC ID: 1850329715 Enrollment ID: O20210701000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Lopez Gordillo, MD 8901 Clement Ave, Parkville, MD 21234-2603 Ph: (516) 430-1134 | Katherine Lopez Gordillo, MD 525 Technology Park Ste 109, Lake Mary, FL 32746-7107 Ph: (407) 647-2346 |
Ashraf Jmeian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Williston Park Pt Ste 1000, Lake Mary, FL 32746 Phone: 407-833-8028 Fax: 407-833-8033 | |
Dr. Kalyani Gaddipati, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 917 Rinehart Rd, Suite 2051, Lake Mary, FL 32746 Phone: 407-936-2444 | |
Hiral P Patel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Win Ko Ko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Rinehart Rd, Lake Mary, FL 32746 Phone: 321-842-2994 Fax: 321-842-1852 | |
Nathaniel Jack Leavitt, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Neenu Antony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 |