| Gary M Gordon, DPM | |
|
2285 Cross Rd, Glenside, PA 19038-5023 | |
| (215) 887-5910 | |
| (215) 887-0387 |
| Full Name | Gary M Gordon |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2285 Cross Rd, Glenside, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689675449 | NPI | - | NPPES |
| 0015356250001 | Medicaid | PA | |
| 7305038 | Other | PA | AETNA |
| 30002264 | Other | PA | KEYSTONE MERCY |
| 0060610000 | Other | PA | KEYSTONE/AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC001507L (Pennsylvania) | Primary |
| Provider Name | Gordon Podiatry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609311034 PECOS PAC ID: 3476839671 Enrollment ID: O20170424000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M Gordon, DPM 2285 Cross Rd, Glenside, PA 19038-5023 Ph: (215) 887-5910 | Gary M Gordon, DPM 2285 Cross Rd, Glenside, PA 19038-5023 Ph: (215) 887-5910 |
Gordon Podiatry, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387 | |
Dr. Nekeisha Alexander Abdul-hakim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 805 E Willow Grove Ave Ste 1b, Glenside, PA 19038 Phone: 215-844-0308 Fax: 215-844-0370 | |
Alexander Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 805 E Willow Grove Ave Ste 1b, Glenside, PA 19038 Phone: 215-844-0308 | |
Dr. Alicia Anne Canzanese, DPM, ATC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387 |