Thomas W Gore, MD - Medicare Emergency Medicine in Grand Rapids, MI

Thomas W Gore, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 975-1845.

Thomas W Gore is licensed to practice in Michigan (license number 4301099948) 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 1770511701.

Contact Information

Thomas W Gore, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560
(616) 975-1845
(616) 285-0846

Map and Direction




Physician's Profile

Full NameThomas W Gore
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770511701
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 11/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4880854991
  • Enrollment ID: I20120823000034

Medical Identifiers

Medical identifiers for Thomas W Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770511701NPI-NPPES
0670028OtherMIBCBSM PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD027389E (Pennsylvania)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 4301099948 (Michigan)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. Thomas W Gore allows following entities to bill medicare on his behalf.
Entity NameEcs Western Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992281000
PECOS PAC ID: 8628327384
Enrollment ID: O20180814003001

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. Thomas W Gore 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
Thomas W Gore, MD
2537 Momentum Pl,
Chicago, IL 60689-5325

Ph: (616) 988-8220
Thomas W Gore, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560

Ph: (616) 975-1845

Reviews and Comments


Emergency Medicine Doctors in Grand Rapids, MI

Dr. Adam Michael Anderson, MD
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Mark Greenwood, DO
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Raymond Scurek, MD
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Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-1680    Fax: 616-285-0846
Andrew Steven Coleman, DO
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Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
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Mark G Kanitz, MD
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Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
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Steven Perry, DO
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Colleen M Bush, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-1680    

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.