Justin Gordon, LCSW in Peachtree Corners, GA - Medicare Clinical Social Worker Provider

Justin Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Peachtree Corners, Georgia. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Antia's Tender Touch Llc and his current practice location is 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 900-5450.

Justin Gordon is licensed to practice in Georgia (license number CSW005873) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1265961205.

Contact Information

	Justin Gordon, LCSW
	6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727
	(404) 900-5450
	(404) 900-5453

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Gordon
Gender	Male
Speciality	Clinical Social Worker
Experience	14 Years
Location	6624 Jimmy Carter Blvd Ste A, Peachtree Corners, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justin Gordon graduated from medical school in 2010

NPI Data:

NPI Number: 1265961205
Provider Enumeration Date: 06/05/2017
Last Update Date: 06/05/2017

Medicare PECOS Information:

PECOS PAC ID: 1052682549
Enrollment ID: I20170801003709

Medical Identifiers

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

Identifier	Type	State	Issuer
1265961205	NPI	-	NPPES
CSW005873	Other	GA	OTHER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW005873 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Antia's Tender Touch Llc	8224328125	6

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. Justin Gordon allows following entities to bill medicare on his behalf.

Entity Name	Antia's Tender Touch Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134471030 PECOS PAC ID: 8224328125 Enrollment ID: O20160606001381

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Justin 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
Justin Gordon, LCSW 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 Ph: () -	Justin Gordon, LCSW 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 Ph: (404) 900-5450

Reviews and Comments

Social Worker in Peachtree Corners, GA

Rachelle Wicker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1535 Holcomb Bridge Rd Apt C, Peachtree Corners, GA 30092 Phone: 404-585-0731
Mary Stack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 770-743-0004 Fax: 404-900-5453
Mrs. Charney Davis, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6251 Smithpointe Dr Ste 204, Peachtree Corners, GA 30092 Phone: 678-577-8330
Hyunsu Shin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6185 Buford Hwy, Building G, Peachtree Corners, GA 30071 Phone: 770-446-0929 Fax: 770-446-6977
Kara Wickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4319 Allenhurst Dr, Peachtree Corners, GA 30092 Phone: 850-766-3462
Mrs. Dayan Carla Bookman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 404-900-5450

Justin Gordon, LCSW - Medicare Clinical Social Worker in Peachtree Corners, GA