Jacquelyne Gordon, LCPC in Owings, MD - Medicare Counselor Provider

Jacquelyne Gordon, LCPC is a medicare enrolled "Counselor - Professional" provider in Owings, Maryland. Her current practice location is 2021 Chaneyville Rd Ste 102, Owings, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 286-2833.

Jacquelyne Gordon is licensed to practice in Maryland (license number LC2279) 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 1194913665.

Contact Information

	Jacquelyne Gordon, LCPC
	2021 Chaneyville Rd Ste 102, Owings, MD 20736-4348
	(410) 286-2833
	(410) 286-2834

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyne Gordon
Gender	Female
Speciality	Counselor - Professional
Location	2021 Chaneyville Rd Ste 102, Owings, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194913665
Provider Enumeration Date: 10/10/2007
Last Update Date: 12/06/2007

Medicare PECOS Information:

PECOS PAC ID: 8224571864
Enrollment ID: I20240624001932

Medical Identifiers

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

Identifier	Type	State	Issuer
1194913665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC2279 (Maryland)	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. Jacquelyne Gordon allows following entities to bill medicare on her behalf.

Entity Name	Quince Orchard Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336670389 PECOS PAC ID: 5395194302 Enrollment ID: O20231214003799

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. Jacquelyne 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
Jacquelyne Gordon, LCPC Po Box 630973, Baltimore, MD 21263-0973 Ph: (410) 286-2833	Jacquelyne Gordon, LCPC 2021 Chaneyville Rd Ste 102, Owings, MD 20736-4348 Ph: (410) 286-2833

Reviews and Comments

Counselor in Owings, MD

Jill B. Lienhardt, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 2021 Chaneyville Rd, Suite 102, Owings, MD 20736 Phone: 410-286-0664 Fax: 410-286-2834
Geraldine Franco Pavel, L.C.P.C.,M.A. Counselor Medicare: Medicare Enrolled Practice Location: 2021 Chaneyville Rd, Suite 102, Owings, MD 20736 Phone: 410-286-0664 Fax: 410-286-2834
Ms. Dee Winfild, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 E Chesapeake Beach Rd, Suite 101, Owings, MD 20736 Phone: 443-607-6207 Fax: 443-607-6208
Kristina Bingham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Good Shepherd Way, Owings, MD 20736 Phone: 410-320-6163

Jacquelyne Gordon, LCPC - Medicare Counselor in Owings, MD