Rachel Gordon, LPC, CSAC, CAS in Manitowoc, WI

Rachel Gordon, LPC, CSAC, CAS is a medicare enrolled "Counselor - Mental Health" provider in Manitowoc, Wisconsin. Her current practice location is 339 Reed Ave, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 320-8600.

Rachel Gordon is licensed to practice in Wisconsin (license number 2368-226) 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 1215302237.

Contact Information

	Rachel Gordon, LPC, CSAC, CAS
	339 Reed Ave, Manitowoc, WI 54220-2020
	(920) 320-8600
	(920) 320-8662

Map and Direction

Healthcare Provider's Profile

Full Name	Rachel Gordon
Gender	Female
Speciality	Counselor - Mental Health
Location	339 Reed Ave, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215302237
Provider Enumeration Date: 12/02/2015
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 2769823475
Enrollment ID: I20240513002152

Medical Identifiers

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

Identifier	Type	State	Issuer
1215302237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2368-226 (Wisconsin)	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. Rachel Gordon allows following entities to bill medicare on her behalf.

Entity Name	Froedtert Manitowoc Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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. Rachel 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
Rachel Gordon, LPC, CSAC, CAS 339 Reed Ave, Manitowoc, WI 54220-2020 Ph: (920) 320-8600	Rachel Gordon, LPC, CSAC, CAS 339 Reed Ave, Manitowoc, WI 54220-2020 Ph: (920) 320-8600

Reviews and Comments

Counselor in Manitowoc, WI

Lana L. Roever, M.S., S.A.C.I.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S. 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908
Mrs. Corrin Laurene Applekamp, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035
Courtney Balthazor, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035 Fax: 920-215-4918
Kirstin Duprey, QTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230
Nicole Bonin, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 816 Washington St, Manitowoc, WI 54220 Phone: 920-645-3743
Austin David Lucas, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 926 South 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908
Mrs. Paulette Marie Sears, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 East Waldo Blvd, Manitowoc, WI 54220 Phone: 920-682-6087 Fax: 920-682-6087

Rachel Gordon, LPC, CSAC, CAS - Medicare Counselor in Manitowoc, WI