Lady-dreama Gordon, MSW, LISW in Columbus, OH - Medicare Social Worker Provider

Lady-dreama Gordon, MSW, LISW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. Her current practice location is 4889 Sinclair Rd Ste 104, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 781-1000.

Lady-dreama Gordon is licensed to practice in Ohio (license number I.1600625) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952841850.

Contact Information

	Lady-dreama Gordon, MSW, LISW
	4889 Sinclair Rd Ste 104, Columbus, OH 43229-5433
	(614) 781-1000
	(614) 781-1038

Map and Direction

Healthcare Provider's Profile

Full Name	Lady-dreama Gordon
Gender	Female
Speciality	Social Worker - Clinical
Location	4889 Sinclair Rd Ste 104, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952841850
Provider Enumeration Date: 02/27/2017
Last Update Date: 08/23/2021

Medicare PECOS Information:

PECOS PAC ID: 8820324791
Enrollment ID: I20190730003380

Medical Identifiers

Medical identifiers for Lady-dreama Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952841850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1600625 (Ohio)	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. Lady-dreama Gordon allows following entities to bill medicare on her behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363

Entity Name	Mighty Acorn Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689114837 PECOS PAC ID: 1759781719 Enrollment ID: O20210611002264

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. Lady-dreama 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
Lady-dreama Gordon, MSW, LISW 4889 Sinclair Rd Ste 104, Columbus, OH 43229-5433 Ph: (147) 811-0006	Lady-dreama Gordon, MSW, LISW 4889 Sinclair Rd Ste 104, Columbus, OH 43229-5433 Ph: (614) 781-1000

Reviews and Comments

Social Worker in Columbus, OH

Andrea L Goehring, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Bethel Rd, Columbus, OH 43220 Phone: 614-442-0664 Fax: 614-442-0620
Mr. Dale James Smith, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-299-6600 Fax: 614-298-2224
Abbe M Straw, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 918 S Front St, Columbus, OH 43206 Phone: 614-445-8277
Paul Parker Wilkinson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 N 4th St, Columbus, OH 43202 Phone: 614-432-2273
Elenice Gomes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Sullivant Ave, Columbus, OH 43222 Phone: 614-752-0333 Fax: 614-995-3268
Hope Anthony, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 S High St, Columbus, OH 43215 Phone: 614-227-9444
Mary Evans, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6503 E Broad St, Columbus, OH 43213 Phone: 614-355-8160 Fax: 614-355-8180

Lady-dreama Gordon, MSW, LISW - Medicare Clinical Social Worker in Columbus, OH