Mr John Edward Gordon, MD is a
Psychiatry & Neurology - Psychiatry physician based in Coeur D' Alene, Idaho. Mr John Edward Gordon is licensed to practice in Idaho (license number IDAHOM-6213) and his current practice location is 1200 W. Ironwood, Suite # 306, Coeur D' Alene, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 651-1335.
NPI number for Mr John Edward Gordon is 1093868051 and his current mailing address is 1200 W. Ironwood, Suite # 306, Coeur D' Alene, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093868051.
Physician's Profile
| Full Name | Mr John Edward Gordon |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1200 W. Ironwood, Coeur D' Alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093868051
- Provider Enumeration Date: 01/20/2007
- Last Update Date: 09/30/2009
Medical Identifiers
Medical identifiers for Mr John Edward Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093868051 | NPI | - | NPPES |
| 001185400 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-6213 (Idaho) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M-6213 (Idaho) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | IDAHOM-6213 (Idaho) | Primary |
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. Mr John Edward Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John Edward Gordon, MD
1200 W. Ironwood, Suite # 306,
Coeur D' Alene, ID 83814
Ph: (208) 651-1335 | Mr John Edward Gordon, MD
1200 W. Ironwood, Suite # 306,
Coeur D' Alene, ID 83814
Ph: (208) 651-1335 |
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