Miss Tracy Gordon, LCSW in Valencia, CA - Medicare Social Worker Provider

Miss Tracy Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Valencia, California. Her current practice location is 25050 Avenue Kearny, Suite 201, Valencia, California. You can reach out to her office (for appointments etc.) via phone at (661) 857-5935.

Miss Tracy Gordon is licensed to practice in California (license number LCS 22738) 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 1720102155.

Contact Information

	Miss Tracy Gordon, LCSW
	25050 Avenue Kearny, Suite 201, Valencia, CA 91355-1255
	(661) 857-5935
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Tracy Gordon
Gender	Female
Speciality	Social Worker - Clinical
Location	25050 Avenue Kearny, Valencia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720102155
Provider Enumeration Date: 03/19/2007
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 3971726076
Enrollment ID: I20140519000147

Medical Identifiers

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

Identifier	Type	State	Issuer
1720102155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS 22738 (California)	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. Miss Tracy Gordon allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Miss Tracy 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
Miss Tracy Gordon, LCSW 25050 Avenue Kearny Ste 203, Valencia, CA 91355-1257 Ph: (661) 857-5935	Miss Tracy Gordon, LCSW 25050 Avenue Kearny, Suite 201, Valencia, CA 91355-1255 Ph: (661) 857-5935

Reviews and Comments

Social Worker in Valencia, CA

Lorena E. Aynalem, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27951 Smyth Dr, 103, Valencia, CA 91355 Phone: 818-584-6367
Ms. Laura Zhao, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25050 Avenue Kearny Ste 203, Valencia, CA 91355 Phone: 213-207-6561
Branigan Kerr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24303 Verdugo Cir, Valencia, CA 91354 Phone: 103-806-1840
Ms. Samantha Padilla, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27200 Tourney Rd, Valencia, CA 91355 Phone: 310-303-9334
Nasha Katrack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23734 Valencia Blvd Ste 304, Valencia, CA 91355 Phone: 234-281-2154
Miss Jeremee Michelle Bouchard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27955 Smyth Dr Ste 101, Valencia, CA 91355 Phone: 323-205-0730 Fax: 818-366-6901
Mr. Donald C Goodman, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27955 Smyth Dr Ste 101, Valencia, CA 91355 Phone: 323-839-9874 Fax: 661-297-0011

Miss Tracy Gordon, LCSW - Medicare Clinical Social Worker in Valencia, CA