Carolyn Gordon, RD, LDN in Berwyn, IL - Medicare Dietitian, Registered Provider

Carolyn Gordon, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Berwyn, Illinois. Her current practice location is 3249 Oak Park Ave, Berwyn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 783-9100.

Carolyn Gordon is licensed to practice in Indiana (license number 1015433) 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 1609143205.

Contact Information

	Carolyn Gordon, RD, LDN
	3249 Oak Park Ave, Berwyn, IL 60402-3429
	(708) 783-9100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Gordon
Gender	Female
Speciality	Dietitian, Registered
Location	3249 Oak Park Ave, Berwyn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609143205
Provider Enumeration Date: 11/27/2011
Last Update Date: 08/04/2014

Medicare PECOS Information:

PECOS PAC ID: 5991022543
Enrollment ID: I20240426002694

Medical Identifiers

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

Identifier	Type	State	Issuer
1609143205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1015433 (Indiana)	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. Carolyn Gordon allows following entities to bill medicare on her behalf.

Provider Name	The Health And Hospital Corporation Of Marion County
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104027879 PECOS PAC ID: 6709795974 Enrollment ID: O20041229000426

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. Carolyn 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
Carolyn Gordon, RD, LDN 5454 S Shore Dr, Apt 610, Chicago, IL 60615-5919 Ph: () -	Carolyn Gordon, RD, LDN 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-9100

Reviews and Comments

Dietitian, Registered in Berwyn, IL

Mrs. Danielle Gengo, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077
Miss Sandra Avitia, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2111 Wesley Ave, Berwyn, IL 60402 Phone: 708-655-5061
Veronika Meyster, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077
Ms. Leslie Michele Giambalvo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 Fax: 708-783-0654
Mrs. Michelle Der, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077
Jill Gerelle Whitney, RD, LDN, CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2694
Alexis Dawn Gonzalez, RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2427 Ridgeland Ave, Berwyn, IL 60402 Phone: 708-745-8220

Carolyn Gordon, RD, LDN - Medicare Dietitian in Berwyn, IL