Kelli Gordy, LPC in Lawrenceville, GA - Medicare Counselor Provider

Kelli Gordy, LPC is a medicare enrolled "Counselor - Professional" provider in Lawrenceville, Georgia. Her current practice location is 175 Gwinnett Dr, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 209-2394.

Kelli Gordy is licensed to practice in Georgia (license number LPC009486) 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 1215345376.

Contact Information

	Kelli Gordy, LPC
	175 Gwinnett Dr, Lawrenceville, GA 30046-8444
	(678) 209-2394
	(678) 212-6343

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Gordy
Gender	Female
Speciality	Counselor - Professional
Location	175 Gwinnett Dr, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215345376
Provider Enumeration Date: 07/31/2014
Last Update Date: 09/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2163869868
Enrollment ID: I20240318000566

Medical Identifiers

Medical identifiers for Kelli Gordy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215345376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC009486 (Georgia)	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. Kelli Gordy allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Kelli Gordy 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
Kelli Gordy, LPC 378 Eagle Tiff Drive, Sugar Hill, GA 30518-5544 Ph: (678) 993-3964	Kelli Gordy, LPC 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 Ph: (678) 209-2394

Reviews and Comments

Counselor in Lawrenceville, GA

Ms. Katherine Anne Sturgis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 Fax: 678-212-6350
Johnny Lee Mitchell Jr., LCSW Counselor Medicare: Medicare Enrolled Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2411
John Troy Mcqueen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 685 Rosedown Way, Lawrenceville, GA 30043 Phone: 678-925-4545
Fatima Flynn, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394
Mrs. Christy Hall Wages, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 Scenic Hwy, Suite 100, Lawrenceville, GA 30045 Phone: 770-995-1846 Fax: 770-995-6614
Angella Bramwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 770-339-2395 Fax: 678-990-3997
Jenna Spears, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 678-634-9237

Kelli Gordy, LPC - Medicare Counselor in Lawrenceville, GA