Shakina M Gordon, BA,AS in Danbury, CT - Medicare Counselor Provider

Shakina M Gordon, BA,AS is a medicare enrolled "Counselor - Mental Health" provider in Danbury, Connecticut. Her current practice location is 72 West St, Danbury Clinical Services, Danbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 797-9778.

Shakina M Gordon is licensed to practice in * (Not Available) (license number ) 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 1902292766.

Contact Information

	Shakina M Gordon, BA,AS
	72 West St, Danbury Clinical Services, Danbury, CT 06810-6531
	(203) 797-9778
	(203) 797-9858

Map and Direction

Healthcare Provider's Profile

Full Name	Shakina M Gordon
Gender	Female
Speciality	Counselor - Mental Health
Location	72 West St, Danbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902292766
Provider Enumeration Date: 04/08/2015
Last Update Date: 04/08/2015

Medicare PECOS Information:

PECOS PAC ID: 4789037433
Enrollment ID: I20240129003831

Medical Identifiers

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

Identifier	Type	State	Issuer
1902292766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Shakina M Gordon allows following entities to bill medicare on her behalf.

Entity Name	Community Health Resources, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155

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. Shakina M 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
Shakina M Gordon, BA,AS 141 E Main St, 4th Floor-administration, Waterbury, CT 06702-2310 Ph: (203) 574-9000	Shakina M Gordon, BA,AS 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 Ph: (203) 797-9778

Reviews and Comments

Counselor in Danbury, CT

Nick Nelson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-360-2889 Fax: 203-332-3271
Haley Mozonski, Counselor Medicare: Medicare Enrolled Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689
Mrs. Carolyn Cunningham, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 72 North St, Suite 205, Danbury, CT 06810 Phone: 203-794-1044 Fax: 203-743-1110
Ashley Seltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West Street, Danbury, CT 06810 Phone: 203-205-2618
Ms. Donna Gail Harrison-patton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689
Mr. John Joseph Gordon, Jr., CASAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Virginia Ave, Unit 7, Danbury, CT 06810 Phone: 917-309-2067
Patrice Romans Moncuse, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Mill Plain Rd Unit 26-3, Danbury, CT 06811 Phone: 203-297-2127

Shakina M Gordon, BA,AS - Medicare Counselor in Danbury, CT