Paul C Gordon, MD - Medicare Interventional Cardiology in Providence, RI

Paul C Gordon, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Providence, Rhode Island. He went to Columbia University College Of Physicians And Surgeons and graduated in 1986 and has 38 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Lifespan Physician Group Inc, The Miriam Hospital and his current practice location is 208 Collyer St, Ste 100, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-7191.

Paul C Gordon is licensed to practice in Rhode Island (license number MD8392) 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 1568496677.

Contact Information

Paul C Gordon, MD
208 Collyer St, Ste 100,
Providence, RI 02904
(401) 793-7191
(401) 793-7200



Physician's Profile

Full NamePaul C Gordon
GenderMale
SpecialityInterventional Cardiology
Experience38 Years
Location208 Collyer St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul C Gordon attended and graduated from Columbia University College Of Physicians And Surgeons in 1986
  NPI Data:
  • NPI Number: 1568496677
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 03/27/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5092702944
  • Enrollment ID: I20040430000619

Medical Identifiers

Medical identifiers for Paul C Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568496677NPI-NPPES
9006737MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD8392 (Rhode Island)Secondary
207RI0011XInternal Medicine - Interventional Cardiology MD8392 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082631
The Miriam Hospital6901796408186

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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. Paul C Gordon allows following entities to bill medicare on his behalf.
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851677470
PECOS PAC ID: 6901796408
Enrollment ID: O20120416000473

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Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962844795
PECOS PAC ID: 8921900044
Enrollment ID: O20140213000388

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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. Paul C 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 AddressPractice Location Address
Paul C Gordon, MD
117 Ellenfield St, Suite 101,
Providence, RI 02905-4513

Ph: (401) 444-6779
Paul C Gordon, MD
208 Collyer St, Ste 100,
Providence, RI 02904

Ph: (401) 793-7191

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Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 245 Chapman St Ste 300, Providence, RI 02905
Phone: 401-444-4741    Fax: 401-444-4445
Karl Herman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Muhammad Baig, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Dr. Peter Sidhom, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 603-560-2276    
Dr. Kanhai Farrakhan, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-457-3336    Fax: 401-525-2349
Gary M Katzman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200

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