Lisa Gordon, LMSW is a medicare enrolled "Social Worker" provider in Pontiac, Michigan. Her current practice location is
1685 Baldwin Ave, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 706-3450.
Lisa 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 1558958207.
Healthcare Provider's Profile
| Full Name | Lisa Gordon |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1685 Baldwin Ave, Pontiac, Michigan |
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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: 1558958207
- Provider Enumeration Date: 12/29/2020
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365896909
- Enrollment ID: I20230929002124
Medical Identifiers
Medical identifiers for Lisa Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558958207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (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. Lisa Gordon allows following entities to bill medicare on her behalf.
| Entity Name | Easter Seals - Michigan, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376526616
PECOS PAC ID: 9830141670
Enrollment ID: O20050221000100 |
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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. Lisa 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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Lisa Gordon, LMSW
18649 Garfield,
Redford, MI 48240-1719
Ph: (313) 550-7181 | Lisa Gordon, LMSW
1685 Baldwin Ave,
Pontiac, MI 48340-1242
Ph: (248) 706-3450 |
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