Ruth Gordon, MD is a medicare enrolled "Emergency Medicine" physician in Kendallville, Indiana. She went to University Of California, Davis School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Vituity-massachusetts Pllc and her current practice location is
401 N Sawyer Rd, Kendallville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 482-4440.
Ruth Gordon is licensed to practice in Arizona (license number 74710) 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 1023675790.
Physician's Profile
| Full Name | Ruth Gordon |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 6 Years |
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| Location | 401 N Sawyer Rd, Kendallville, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ruth Gordon attended and graduated from University Of California, Davis School Of Medicine in 2020
NPI Data:
- NPI Number: 1023675790
- Provider Enumeration Date: 05/28/2019
- Last Update Date: 06/25/2026
Medicare PECOS Information:
- PECOS PAC ID: 6901229541
- Enrollment ID: I20240926002183
Medical Identifiers
Medical identifiers for Ruth Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023675790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 1024343 (Massachusetts) | Secondary |
| 207P00000X | Emergency Medicine | 74710 (Arizona) | Primary |
| 207P00000X | Emergency Medicine | 262589 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 01096886A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Vituity-massachusetts Pllc | 9032625207 | 42 |
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. Ruth Gordon allows following entities to bill medicare on her behalf.
| Entity Name | Steward Emergency Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
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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. Ruth 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 |
Ruth Gordon, MD 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 Ph: (260) 482-4440 | Ruth Gordon, MD 401 N Sawyer Rd, Kendallville, IN 46755-2568 Ph: (260) 482-4440 |
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