Mr John Edward Gordon, MD in Coeur D' Alene, ID - Psychiatry & Neurology

Mr John Edward Gordon, MD is a Psychiatry & Neurology - Psychiatry physician based in Coeur D' Alene, Idaho. Mr John Edward Gordon is licensed to practice in Idaho (license number IDAHOM-6213) and his current practice location is 1200 W. Ironwood, Suite # 306, Coeur D' Alene, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 651-1335.

NPI number for Mr John Edward Gordon is 1093868051 and his current mailing address is 1200 W. Ironwood, Suite # 306, Coeur D' Alene, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093868051.

Contact Information

	Mr John Edward Gordon, MD
	1200 W. Ironwood, Suite # 306, Coeur D' Alene, ID 83814
	(208) 651-1335
	(208) 765-0779

Physician's Profile

Full Name	Mr John Edward Gordon
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1200 W. Ironwood, Coeur D' Alene, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1093868051
Provider Enumeration Date: 01/20/2007
Last Update Date: 09/30/2009

Medical Identifiers

Medical identifiers for Mr John Edward Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093868051	NPI	-	NPPES
001185400	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	M-6213 (Idaho)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	M-6213 (Idaho)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	IDAHOM-6213 (Idaho)	Primary

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. Mr John Edward Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John Edward Gordon, MD 1200 W. Ironwood, Suite # 306, Coeur D' Alene, ID 83814 Ph: (208) 651-1335	Mr John Edward Gordon, MD 1200 W. Ironwood, Suite # 306, Coeur D' Alene, ID 83814 Ph: (208) 651-1335

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Mr John Edward Gordon, MD - Psychiatry & Neurology in Coeur D' Alene, ID