Shelby Gordon, in Riverside, CA - Medicare Counselor Provider

Shelby Gordon, is a medicare enrolled "Counselor - Mental Health" provider in Riverside, California. Her current practice location is 2085 Rustin Ave, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 955-8000.

Shelby 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 1952966905.

Contact Information

	Shelby Gordon,
	2085 Rustin Ave, Riverside, CA 92507-2498
	(951) 955-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Gordon
Gender	Female
Speciality	Counselor - Mental Health
Location	2085 Rustin Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952966905
Provider Enumeration Date: 05/06/2019
Last Update Date: 05/06/2019

Medicare PECOS Information:

PECOS PAC ID: 5991140113
Enrollment ID: I20240228000357

Medical Identifiers

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

Identifier	Type	State	Issuer
1952966905	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. Shelby Gordon allows following entities to bill medicare on her behalf.

Entity Name	Clarity Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063803856 PECOS PAC ID: 7517284755 Enrollment ID: O20150326001469

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. Shelby 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
Shelby Gordon, 7515 Delaware St, Riverside, CA 92504-3738 Ph: (773) 842-8877	Shelby Gordon, 2085 Rustin Ave, Riverside, CA 92507-2498 Ph: (951) 955-8000

Reviews and Comments

Counselor in Riverside, CA

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Natalie Ann Suzberic-williams, MS, CATCIII 091997 Counselor Medicare: Not Enrolled in Medicare Practice Location: 10281 Kidd St, Riverside, CA 92503 Phone: 951-715-5050
Vanessa Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6711 Arlington Ave, Riverside, CA 92504 Phone: 951-742-6380
Marliz Alvarado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3576 Arlington Ave Ste 100, Riverside, CA 92506 Phone: 951-374-1555 Fax: 951-394-7426

Shelby Gordon, - Medicare Counselor in Riverside, CA