| Michelle B Gordon, MD | |
|
1501 E 3rd St, Delta, CO 81416-2815 | |
| (970) 874-7681 | |
| Not Available |
| Full Name | Michelle B Gordon |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1501 E 3rd St, Delta, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013945237 | NPI | - | NPPES |
| DE82504 | Other | CO | BCBS |
| 840428757014 | Other | CO | ROCKY MOUNTAIN HEALTH PLA |
| 29832578 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 42739 (Colorado) | Primary |
| Entity Name | Delta County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle B Gordon, MD Po Box 10100, Delta, CO 81416-0008 Ph: (970) 874-2470 | Michelle B Gordon, MD 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-7681 |
Carl Malito, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Yvette Rr Burdick, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Julie A Query, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-2227 | |
Dr. Andrew Lane Gross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St # 81416, Delta, CO 81416 Phone: 970-874-7681 | |
Dr. David Kasarda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-2254 | |
Hallie Simone Blunck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-2254 |