Tracy Leatrice Gordon, MSW, LCSW in Covington, GA - Medicare Social Worker Provider

Tracy Leatrice Gordon, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Covington, Georgia. Her current practice location is 40 Adelaide Dr, Covington, Georgia. You can reach out to her office (for appointments etc.) via phone at (609) 273-8551.

Tracy Leatrice Gordon is licensed to practice in New Jersey (license number 44SC06041900) 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 1710635206.

Contact Information

	Tracy Leatrice Gordon, MSW, LCSW
	40 Adelaide Dr, Covington, GA 30016-1931
	(609) 273-8551
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Leatrice Gordon
Gender	Female
Speciality	Social Worker - Clinical
Location	40 Adelaide Dr, Covington, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710635206
Provider Enumeration Date: 03/14/2022
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0042694531
Enrollment ID: I20220901001340

Medical Identifiers

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

Identifier	Type	State	Issuer
1710635206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904013773 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	28899 (Maryland)	Secondary
1041C0700X	Social Worker - Clinical	2795 (New Hampshire)	Secondary
1041C0700X	Social Worker - Clinical	SW20113 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	10146-C (Nevada)	Secondary
1041C0700X	Social Worker - Clinical	44SC06041900 (New Jersey)	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. Tracy Leatrice Gordon allows following entities to bill medicare on her behalf.

Entity Name	Nj Behavioral Health Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447289376 PECOS PAC ID: 0648288712 Enrollment ID: O20060331000030

Entity Name	Valera Medical, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306435060 PECOS PAC ID: 6709272008 Enrollment ID: O20220414000699

Entity Name	Grow Healthcare Group Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110

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. Tracy Leatrice 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
Tracy Leatrice Gordon, MSW, LCSW 16701 Melford Blvd Ste 400, Bowie, MD 20715-4411 Ph: (415) 424-4266	Tracy Leatrice Gordon, MSW, LCSW 40 Adelaide Dr, Covington, GA 30016-1931 Ph: (609) 273-8551

Reviews and Comments

Social Worker in Covington, GA

Stephanie E. Moultrie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977
Melissa Patrick, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5108 Newton Dr Ne, Covington, GA 30014 Phone: 678-712-6898
Mrs. Phebee Vun Henderson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977 Fax: 770-784-3022
Catreshia Brundage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Brighton Ridge Ln, Covington, GA 30016 Phone: 706-473-0241
Denise K Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Oak Ridge Ct, Covington, GA 30016 Phone: 302-213-4609
Matthew Scott Henderson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3155 Mill St Ne, Covington, GA 30014 Phone: 678-712-6520 Fax: 678-712-6521
Samia Michelle Solaiman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3155 Mill St Ne, Covington, GA 30014 Phone: 678-712-6520 Fax: 678-712-6521

Tracy Leatrice Gordon, MSW, LCSW - Medicare Clinical Social Worker in Covington, GA