Mr Aldin Leslie Gordon, LCPC is a medicare enrolled "Clinic/center - Mental Health (including Community Mental Health Center)" provider in Baltimore, Maryland. His current practice location is
1407 Lochner Rd, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(443) 475-0338.
Mr Aldin Leslie Gordon is licensed to practice in Maryland (license number LC4829) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215103544.
Healthcare Provider's Profile
Full Name | Mr Aldin Leslie Gordon |
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Gender | Male |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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Location | 1407 Lochner Rd, Baltimore, Maryland |
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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: 1215103544
- Provider Enumeration Date: 05/06/2008
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678917945
- Enrollment ID: I20240215000836
Medical Identifiers
Medical identifiers for Mr Aldin Leslie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215103544 | NPI | - | NPPES |
086022100 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LC4829 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | LC4829 (Maryland) | Secondary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LC4829 (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. Mr Aldin Leslie Gordon allows following entities to bill medicare on his behalf.
Entity Name | Chase Brexton Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588606305 PECOS PAC ID: 5395644835 Enrollment ID: O20040512000520 |
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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. Mr Aldin Leslie 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 |
Mr Aldin Leslie Gordon, LCPC 1407 Lochner Rd Ste 0, Baltimore, MD 21239-2932 Ph: (443) 475-0338 | Mr Aldin Leslie Gordon, LCPC 1407 Lochner Rd, Baltimore, MD 21239-2932 Ph: (443) 475-0338 |
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