Robert T Gordon, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Rapid City, South Dakota. His current practice location is
4150 5th St, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 399-4300.
Robert T Gordon is licensed to practice in South Dakota (license number 5310) 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 1588604581.
Physician's Profile
| Full Name | Robert T Gordon |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 4150 5th St, Rapid City, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588604581
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 12/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113810441
- Enrollment ID: I20090713000586
Medical Identifiers
Medical identifiers for Robert T Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588604581 | NPI | - | NPPES |
| 7301930 | Medicaid | SD | |
| 4995658 | Other | SD | BLUE CROSS OF SD |
| 060031670 | Other | SD | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5310 (South Dakota) | 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. Robert T Gordon allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Robert T 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 |
|---|
Robert T Gordon, MD
4150 5th St,
Rapid City, SD 57701-6022
Ph: (605) 399-4300 | Robert T Gordon, MD
4150 5th St,
Rapid City, SD 57701-6022
Ph: (605) 399-4300 |
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