Mark R Gordon, MD in Carlsbad, CA - Medicare Internal Medicine

Mark R Gordon, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Carlsbad, California. His current practice location is 2870 Whiptail Loop Ste 201, Carlsbad, California. You can reach out to his office (for appointments etc.) via phone at (667) 243-5377.

Mark R Gordon is licensed to practice in California (license number G-168143) 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 1982652939.

Contact Information

	Mark R Gordon, MD
	2870 Whiptail Loop Ste 201, Carlsbad, CA 92010-6766
	(667) 243-5377
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark R Gordon
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	2870 Whiptail Loop Ste 201, Carlsbad, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982652939
Provider Enumeration Date: 05/04/2006
Last Update Date: 06/27/2025

Medicare PECOS Information:

PECOS PAC ID: 1153330808
Enrollment ID: I20240611000283

Medical Identifiers

Medical identifiers for Mark R Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982652939	NPI	-	NPPES
0008426	Other	SD	SD BCBS
25-00667	Other		MEDICA SELECTCARE
165025	Other	MN	UCARE
0549402	Medicaid	IA
3929	Other	SD	DAKOTACARE
331503700	Medicaid	MN
33333	Other	IA	IA BCBS #
931451030123	Other		PREFERRED ONE
10492	Other		HEALTHPARTNERS
6002892	Medicaid	SD
101T6GO	Other	MN	MN BCBS - PLAN 91057NO
346L9GO	Other	MN	MN BCBS - PLAN 538R2NO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	MD2020-0673 (New Mexico)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	5823A (Wyoming)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	3929 (South Dakota)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD220295 (Oregon)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	G-168143 (California)	Primary

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. Mark R Gordon allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315

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. Mark R Gordon 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
Mark R Gordon, MD 2870 Whiptail Loop Ste 201, Carlsbad, CA 92010-6766 Ph: (760) 331-9771	Mark R Gordon, MD 2870 Whiptail Loop Ste 201, Carlsbad, CA 92010-6766 Ph: (667) 243-5377

Reviews and Comments

Internal Medicine Doctors in Carlsbad, CA

Mrs. Jazel Ruivivar Sambo, NP Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2510 El Camino Real, Carlsbad, CA 92008 Phone: 760-729-8941
Dr. Ronald Hansel Main, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2604b El Camino Real Ste 275, Carlsbad, CA 92008 Phone: 442-888-4176
Stacie Hien Ly, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2176 Salk Ave, Carlsbad, CA 92008 Phone: 760-827-7200
Andrew J Hall, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2562 State St, Suite D, Carlsbad, CA 92008 Phone: 760-729-7186 Fax: 760-729-2753
Zachary Thomas Fellows, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6120 Paseo Del Norte Ste C1, Carlsbad, CA 92011 Phone: 760-891-4687 Fax: 760-684-8715
Dr. Reyzan E Shali, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6185 Paseo Del Norte Ste 100, Carlsbad, CA 92011 Phone: 760-940-7000 Fax: 760-940-0042
Isabel J Pereira, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3140 El Camino Real, Carlsbad, CA 92008 Phone: 760-720-9898

Mark R Gordon, MD - Medicare Internal Medicine in Carlsbad, CA