Julie Gordon, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Croswell, Michigan. Her current practice location is
4270 Brown Rd, Croswell, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 705-0479.
Julie Gordon is licensed to practice in * (Not Available) (license number ) 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 1194908699.
Healthcare Provider's Profile
Full Name | Julie Gordon |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 4270 Brown Rd, Croswell, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194908699
- Provider Enumeration Date: 12/07/2007
- Last Update Date: 12/07/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810420494
- Enrollment ID: I20241105000226
Medical Identifiers
Medical identifiers for Julie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194908699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Julie Gordon allows following entities to bill medicare on her behalf.
Entity Name | Blue Water Mental Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457305419 PECOS PAC ID: 2769477264 Enrollment ID: O20060531000214 |
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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. Julie 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 |
Julie Gordon, 4270 Brown Rd, Croswell, MI 48422-9499 Ph: (810) 705-0479 | Julie Gordon, 4270 Brown Rd, Croswell, MI 48422-9499 Ph: (810) 705-0479 |
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