Mrs Viola M Statham Gordon, MA, PE, LPCA in Stanford, KY

Mrs Viola M Statham Gordon, MA, PE, LPCA is a medicare enrolled "Counselor - Professional" provider in Stanford, Kentucky. Her current practice location is 322 Frontier Blvd, Stanford, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 253-1686.

Mrs Viola M Statham Gordon is licensed to practice in * (Not Available) (license number 1046) 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 1508906207.

Contact Information

	Mrs Viola M Statham Gordon, MA, PE, LPCA
	322 Frontier Blvd, Stanford, KY 40484-7730
	(859) 253-1686
	(859) 254-2743

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Viola M Statham Gordon
Gender	Female
Speciality	Counselor - Professional
Location	322 Frontier Blvd, Stanford, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508906207
Provider Enumeration Date: 02/08/2007
Last Update Date: 11/10/2009

Medicare PECOS Information:

PECOS PAC ID: 6507206737
Enrollment ID: I20240503003002

Medical Identifiers

Medical identifiers for Mrs Viola M Statham Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508906207	NPI	-	NPPES
30615058	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1046 (* (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. Mrs Viola M Statham Gordon allows following entities to bill medicare on her behalf.

Entity Name	New Vista Of The Bluegrass Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869

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 Viola M Statham 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 Viola M Statham Gordon, MA, PE, LPCA 1351 Newtown Pike, Lexington, KY 40511-1217 Ph: (859) 253-1686	Mrs Viola M Statham Gordon, MA, PE, LPCA 322 Frontier Blvd, Stanford, KY 40484-7730 Ph: (859) 253-1686

Reviews and Comments

Counselor in Stanford, KY

Ms. Teresa D Coffman, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Frontier Blvd, Stanford, KY 40484 Phone: 859-253-1686 Fax: 859-254-2743
Mrs. Sharla D Lake, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Frontier Blvd, Stanford, KY 40484 Phone: 859-253-1686 Fax: 859-254-2743
Mrs. April L Vickers, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Frontier Blvd, Stanford, KY 40484 Phone: 859-253-1686 Fax: 859-254-2743
Ms. Karin Loucile Thompson Vanhorn, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Frontier Blvd, Stanford, KY 40484 Phone: 606-365-2197
Sharon D Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Frontier Blvd, Stanford, KY 40484 Phone: 859-253-1686 Fax: 859-254-2743
Mrs. Susan E Willmott, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Frontier Blvd, Stanford, KY 40484 Phone: 859-253-1686 Fax: 859-254-2743
Mrs. Kelly Smith Bell, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Frontier Blvd, Stanford, KY 40484 Phone: 859-253-1686 Fax: 859-254-2743

Mrs Viola M Statham Gordon, MA, PE, LPCA - Medicare Counselor in Stanford, KY