Dr Maxie Lerone Gordon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Clinton, Mississippi. His current practice location is
590 Springridge Rd, Clinton, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 488-8101.
Dr Maxie Lerone Gordon is licensed to practice in Mississippi (license number 9801288) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427018613.
Physician's Profile
| Full Name | Dr Maxie Lerone Gordon |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 590 Springridge Rd, Clinton, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Maxie Lerone Gordon attended and graduated from in
NPI Data:
- NPI Number: 1427018613
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Maxie Lerone Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427018613 | NPI | - | NPPES |
| 08723392 | Medicaid | MS | |
| 9014277 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9801288 (Mississippi) | 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. Dr Maxie Lerone 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 |
|---|
Dr Maxie Lerone Gordon, MD
590 Springridge Rd,
Clinton, MS 39056-5606
Ph: (601) 488-8101 | Dr Maxie Lerone Gordon, MD
590 Springridge Rd,
Clinton, MS 39056-5606
Ph: (601) 488-8101 |
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