Tina Helene Gordon, MA, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Moosic, Pennsylvania. Her current practice location is
340 Montage Mountain Rd, Moosic, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 346-3686.
Tina Helene Gordon is licensed to practice in Pennsylvania (license number MF000529) 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 1720270978.
Healthcare Provider's Profile
Full Name | Tina Helene Gordon |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 340 Montage Mountain Rd, Moosic, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720270978
- Provider Enumeration Date: 08/13/2007
- Last Update Date: 08/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 3072950724
- Enrollment ID: I20240318002459
Medical Identifiers
Medical identifiers for Tina Helene Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720270978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MF000529 (Pennsylvania) | 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. Tina Helene Gordon allows following entities to bill medicare on her behalf.
Entity Name | Matthew A Berger Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275617508 PECOS PAC ID: 5991791212 Enrollment ID: O20040422000697 |
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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. Tina Helene 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 |
Tina Helene Gordon, MA, MFT 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686 | Tina Helene Gordon, MA, MFT 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686 |
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