Mrs Mary Gayle Gordon, MS is a
Social Worker based in Texarkana, Arkansas. Mrs Mary Gayle Gordon is licensed to practice in Arkansas (license number 1030B) and her current practice location is
2904 Arkansas Blvd, Texarkana, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 773-4655.
NPI number for Mrs Mary Gayle Gordon is 1407815442 and her current mailing address is 2904 Arkansas Blvd, Texarkana, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407815442.
Healthcare Provider's Profile
Full Name | Mrs Mary Gayle Gordon |
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Gender | Female |
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Speciality | Social Worker |
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Location | 2904 Arkansas Blvd, Texarkana, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407815442
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Mary Gayle Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407815442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 88-15E (Arkansas) | Primary |
104100000X | Social Worker | 1030B (Arkansas) | Primary |
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 Mary Gayle Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Gayle Gordon, MS 2904 Arkansas Blvd, Texarkana, AR 71854-2536 Ph: (870) 773-4655 | Mrs Mary Gayle Gordon, MS 2904 Arkansas Blvd, Texarkana, AR 71854-2536 Ph: (870) 773-4655 |
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