| Grace Gordon, PA-C | |
|
5875 E Riverside Blvd, Rockford, IL 61114-4937 | |
| (815) 398-9491 | |
| (815) 381-7498 |
| Full Name | Grace Gordon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 5875 E Riverside Blvd, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265397475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085011731 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthomidwest, Pllc | 0749183713 | 531 |
| Entity Name | Orthomidwest, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Gordon, PA-C Po Box 735263, Chicago, IL 60673-5263 Ph: Not Available | Grace Gordon, PA-C 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491 |
Ellissa A Schwartz, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6830 Villagreen Vw, Rockford, IL 61107 Phone: 815-282-1339 Fax: 815-282-1298 |
Alexander Whitney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 Featherstone Rd Ste C, Rockford, IL 61107 Phone: 815-227-1055 Fax: 815-227-1006 |
Caron M Cook, P.A, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-3050 |
Veronica Newburn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E State St, Rockford, IL 61104 Phone: 815-201-1970 |
Mrs. Katie Michelle Rose, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 360, Rockford, IL 61107 Phone: 815-229-9333 |
Michael Murphy Weedman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 |
Gordon Eggers, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 |