Dr Desiree Martineay Gordon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Madera, California. Her current practice location is
2370 W Cleveland Ave # 108-320, Madera, California. You can reach out to her office (for appointments etc.) via phone at
(559) 777-9439.
Dr Desiree Martineay Gordon is licensed to practice in California (license number PSY28775) 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 1255683561.
Healthcare Provider's Profile
| Full Name | Dr Desiree Martineay Gordon |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2370 W Cleveland Ave # 108-320, Madera, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255683561
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 02/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931463049
- Enrollment ID: I20180425002183
Medical Identifiers
Medical identifiers for Dr Desiree Martineay Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255683561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RA897812 (California) | Secondary |
| 101YP2500X | Counselor - Professional | 178.003764 (Illinois) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 17815 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY28775 (California) | Primary |
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. Dr Desiree Martineay 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 |
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Dr Desiree Martineay Gordon, PSYD
2370 W Cleveland Ave # 108-320,
Madera, CA 93637-8742
Ph: (559) 777-9439 | Dr Desiree Martineay Gordon, PSYD
2370 W Cleveland Ave # 108-320,
Madera, CA 93637-8742
Ph: (559) 777-9439 |
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