Stevonna Dee Gordon, is a
Community Health Worker based in Oakland, California. Stevonna Dee Gordon is licensed to practice in * (Not Available) (license number ) and her current practice location is
390 40th St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 613-0330.
NPI number for Stevonna Dee Gordon is 1306550546 and her current mailing address is 390 40th St, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306550546.
Healthcare Provider's Profile
Full Name | Stevonna Dee Gordon |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 390 40th St, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306550546
- Provider Enumeration Date: 01/12/2023
- Last Update Date: 11/30/2023
Medical Identifiers
Medical identifiers for Stevonna Dee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306550546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | 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. Stevonna Dee 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 |
Stevonna Dee Gordon, 390 40th St, Oakland, CA 94609-2633 Ph: () - | Stevonna Dee Gordon, 390 40th St, Oakland, CA 94609-2633 Ph: (510) 613-0330 |
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