Brahm Alexander Gordon, SSW in Layton, UT - Medicare Social Worker Provider

Brahm Alexander Gordon, SSW is a medicare enrolled "Social Worker - Clinical" provider in Layton, Utah. His current practice location is 934 S Main St, Layton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 546-1168.

Brahm Alexander Gordon is licensed to practice in Utah (license number 5503536-3501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659558658.

Contact Information

	Brahm Alexander Gordon, SSW
	934 S Main St, Layton, UT 84041-4250
	(801) 546-1168
	(801) 544-0770

Map and Direction

Healthcare Provider's Profile

Full Name	Brahm Alexander Gordon
Gender	Male
Speciality	Social Worker - Clinical
Location	934 S Main St, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659558658
Provider Enumeration Date: 01/22/2008
Last Update Date: 11/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6608228952
Enrollment ID: I20240123000631

Medical Identifiers

Medical identifiers for Brahm Alexander Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659558658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	5503536-3501 (Utah)	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. Brahm Alexander Gordon allows following entities to bill medicare on his behalf.

Entity Name	Ascendant Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689128605 PECOS PAC ID: 1850673187 Enrollment ID: O20170123001085

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. Brahm Alexander 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
Brahm Alexander Gordon, SSW Po Box 460, Bountiful, UT 84011-0460 Ph: (801) 298-3446	Brahm Alexander Gordon, SSW 934 S Main St, Layton, UT 84041-4250 Ph: (801) 546-1168

Reviews and Comments

Social Worker in Layton, UT

Kelley Diane Irmen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Michele Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Jennifer Lynn Forbes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
John David Larsen, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Alison Coburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 W Antelope Dr Ste 320, Layton, UT 84041 Phone: 801-773-4840
Brady D Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060

Brahm Alexander Gordon, SSW - Medicare Clinical Social Worker in Layton, UT