| Kilbourn Gordon Iii, MD | |
|
220 Route 12, Groton, CT 06340-3414 | |
| (860) 650-3848 | |
| Not Available |
| Full Name | Kilbourn Gordon Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 220 Route 12, Groton, Connecticut |
| 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 |
|---|---|---|---|
| 1952455693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 038689 (Connecticut) | Secondary |
| 208D00000X | General Practice | 038689 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Medical Associates, Llc | 7214107515 | 105 |
| Entity Name | Urgent Care Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730479254 PECOS PAC ID: 7214107515 Enrollment ID: O20111018000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Kilbourn Gordon Iii, MD 220 Route 12, Groton, CT 06340-3414 Ph: (860) 650-3848 | Kilbourn Gordon Iii, MD 220 Route 12, Groton, CT 06340-3414 Ph: (860) 650-3848 |
Adam Wahl, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave Bldg 449, Groton, CT 06349 Phone: 815-409-2564 | |
Mitchel Cordes, MD, MPH General Practice Medicare: Not Enrolled in Medicare Practice Location: Naval Health Clinic Groton, 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123 | |
Dr. David Graham Southerland, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: Bldg 148, Trout Ave, Groton, CT 06349 Phone: 860-694-3263 Fax: 860-694-4809 |