Dr Gordon E Fosdick, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Middlefield, Connecticut. He went to Temple University School Of Medicine and graduated in 1998 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is
470 Main St, Middlefield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 349-8500.
Dr Gordon E Fosdick is licensed to practice in Connecticut (license number 00723) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740206192.
Healthcare Provider's Profile
| Full Name | Dr Gordon E Fosdick |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 28 Years |
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| Location | 470 Main St, Middlefield, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gordon E Fosdick attended and graduated from Temple University School Of Medicine in 1998
NPI Data:
- NPI Number: 1740206192
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 06/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 4486614708
- Enrollment ID: I20041012000855
Medical Identifiers
Medical identifiers for Dr Gordon E Fosdick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740206192 | NPI | - | NPPES |
| 000723 | Other | CT | CONNECTICARE |
| 030000723CT05 | Other | CT | BLUE CROSS BLUE SHIELD |
| 004206951 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0131X | Podiatrist - Foot Surgery | 00723 (Connecticut) | 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. Dr Gordon E Fosdick allows following entities to bill medicare on his behalf.
| Provider Name | Affiliated Foot Care Center, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295807451
PECOS PAC ID: 7618937939
Enrollment ID: O20041013000407 |
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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. Dr Gordon E Fosdick 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 |
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Dr Gordon E Fosdick, DPM
196 Parkway S, Suite 304,
Waterford, CT 06385-1234
Ph: (860) 442-7027 | Dr Gordon E Fosdick, DPM
470 Main St,
Middlefield, CT 06455-1210
Ph: (860) 349-8500 |
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