Landis Coffee Gordon, PA-C in Tifton, GA - Medicare Physician Assistant

Landis Coffee Gordon, PA-C is a medicare enrolled "Physician Assistant" in Tifton, Georgia. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Tift Regional Health System Inc and her current practice location is 2227 Us Highway 41 N, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 386-5222.

Landis Coffee Gordon is licensed to practice in Georgia (license number 003887) 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 1457329641.

Contact Information

	Landis Coffee Gordon, PA-C
	2227 Us Highway 41 N, Tifton, GA 31794-2749
	(229) 386-5222
	Not Available

Map and Direction

Provider's Profile

Full Name	Landis Coffee Gordon
Gender	Female
Speciality	Physician Assistant
Experience	22 Years
Location	2227 Us Highway 41 N, Tifton, Georgia
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:

Landis Coffee Gordon graduated from nursing school in 2002

NPI Data:

NPI Number: 1457329641
Provider Enumeration Date: 03/14/2006
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4284798653
Enrollment ID: I20090129000361

Medical Identifiers

Medical identifiers for Landis Coffee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457329641	NPI	-	NPPES
100002324A	Medicaid	GA
291289900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	003887 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tift Regional Medical Center	Tifton, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tift Regional Health System Inc	2062745169	298

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. Landis Coffee 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
Landis Coffee Gordon, PA-C Po Box 2650, Tifton, GA 31793-2650 Ph: (229) 353-3422	Landis Coffee Gordon, PA-C 2227 Us Highway 41 N, Tifton, GA 31794-2749 Ph: (229) 386-5222

Reviews and Comments

Physician Assistant Nurses in Tifton, GA

Kathryn H. Perri, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100
Summer Grace Stephenson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 41 Mount Olive Church Rd, Tifton, GA 31794 Phone: 229-326-2610
Thomas L Shoup, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6051
Georgia Griffis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 907 18th St E, Tifton, GA 31794 Phone: 229-391-3320
Miss Shaina Linell Mcgordon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Mr. Robert Jay Muterspaugh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 18th St E, Tifton, GA 31794 Phone: 229-386-9333 Fax: 229-386-1666
Bradley T Holt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-2284

Landis Coffee Gordon, PA-C - Medicare Physician Assistant in Tifton, GA