Mrs Callie Gordon, LPC in Breckenridge, TX - Medicare Counselor Provider

Mrs Callie Gordon, LPC is a medicare enrolled "Counselor - Professional" provider in Breckenridge, Texas. Her current practice location is 103 W Yucca St, Breckenridge, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 944-0878.

Mrs Callie Gordon is licensed to practice in Texas (license number 79618) 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 1760061097.

Contact Information

	Mrs Callie Gordon, LPC
	103 W Yucca St, Breckenridge, TX 76424-1910
	(817) 944-0878
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Callie Gordon
Gender	Female
Speciality	Counselor - Professional
Location	103 W Yucca St, Breckenridge, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760061097
Provider Enumeration Date: 04/05/2021
Last Update Date: 04/05/2021

Medicare PECOS Information:

PECOS PAC ID: 3971949413
Enrollment ID: I20240307000551

Medical Identifiers

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

Identifier	Type	State	Issuer
1760061097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	79618 (Texas)	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. Mrs Callie Gordon allows following entities to bill medicare on her behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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. Mrs Callie 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
Mrs Callie Gordon, LPC 103 W Yucca St, Breckenridge, TX 76424-1910 Ph: (817) 944-0878	Mrs Callie Gordon, LPC 103 W Yucca St, Breckenridge, TX 76424-1910 Ph: (817) 944-0878

Reviews and Comments

Counselor in Breckenridge, TX

Mrs. Josephine Sally Kelly, MAMFC MA OF MARRIAGE Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 E Walker St, Suite 512 & 513, Breckenridge, TX 76424 Phone: 254-559-8508 Fax: 254-559-8508
Karis Nicole White, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9400 County Road 204, Breckenridge, TX 76424 Phone: 806-620-0842
Mrs. Denise Marie Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9512 Fm 1148, Breckenridge, TX 76424 Phone: 940-362-4532
Meredith Michelle Wunsch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3807 County Road 202, Breckenridge, TX 76424 Phone: 940-367-8892

Mrs Callie Gordon, LPC - Medicare Counselor in Breckenridge, TX