Rebecca Lynn Fryer Gordon, DO - Medicare Family Practice in Rolla, MO

Rebecca Lynn Fryer Gordon, DO is a medicare enrolled "Family Medicine" physician in Rolla, Missouri. She went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Pcrmc Medical Group Inc and her current practice location is 600 Blues Lake Pkwy, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 364-8822.

Rebecca Lynn Fryer Gordon is licensed to practice in Missouri (license number 2023020151) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003494899.

Contact Information

Rebecca Lynn Fryer Gordon, DO
600 Blues Lake Pkwy,
Rolla, MO 65401-8022
(573) 364-8822
(573) 202-2402

Map and Direction




Physician's Profile

Full NameRebecca Lynn Fryer Gordon
GenderFemale
SpecialityFamily Practice
Experience4 Years
Location600 Blues Lake Pkwy, Rolla, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rebecca Lynn Fryer Gordon attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2021
  NPI Data:
  • NPI Number: 1003494899
  • Provider Enumeration Date: 04/01/2021
  • Last Update Date: 12/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1355889635
  • Enrollment ID: I20240817000577

Medical Identifiers

Medical identifiers for Rebecca Lynn Fryer Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003494899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2023020151 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps County Regional Medical CenterRolla, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pcrmc Medical Group Inc155745406399

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. Rebecca Lynn Fryer Gordon allows following entities to bill medicare on her behalf.
Entity NamePhelps County Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891766051
PECOS PAC ID: 2860391158
Enrollment ID: O20040106000405
Entity NamePcrmc Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124237227
PECOS PAC ID: 1557454063
Enrollment ID: O20070829000437

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. Rebecca Lynn Fryer 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 AddressPractice Location Address
Rebecca Lynn Fryer Gordon, DO
600 Blues Lake Pkwy,
Rolla, MO 65401-8022

Ph: (573) 364-8822
Rebecca Lynn Fryer Gordon, DO
600 Blues Lake Pkwy,
Rolla, MO 65401-8022

Ph: (573) 364-8822

Reviews and Comments


Family Medicine Doctors in Rolla, MO

Dr. Katie Elizabeth Hern, M.D.
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Phone: 573-458-6350    Fax: 573-458-6764
Dr. Omofolarin Babatunji Fasuyi, M.D, M.P.H
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James Wyatt Eikermann, DO
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Phone: 573-426-4455    
Dr. Randall G. Dudik, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401
Phone: 573-341-3043    Fax: 573-341-5208
Dr. Luther D. Spurlock, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401
Phone: 573-341-3043    Fax: 573-341-5208
Dr. Kimberly D. Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1081 E 18th St, Rolla, MO 65401
Phone: 734-262-4075    Fax: 573-426-6723

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.