Dr Sherryl Gaye Gordon, MD is a medicare enrolled "Pediatrics" physician in Eustis, Florida. Her current practice location is
601 E Jennings Ave, Eustis, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 357-5311.
Dr Sherryl Gaye Gordon is licensed to practice in Florida (license number ME90253) 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 1174525679.
Physician's Profile
Full Name | Dr Sherryl Gaye Gordon |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 601 E Jennings Ave, Eustis, Florida |
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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: 1174525679
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 02/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 8527030980
- Enrollment ID: I20040807000009
Medical Identifiers
Medical identifiers for Dr Sherryl Gaye Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174525679 | NPI | - | NPPES |
269787400 | Medicaid | FL | |
43166 | Other | FL | BLUE CROSS |
43166 | Other | FL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | ME90253 (Florida) | 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. Dr Sherryl Gaye Gordon allows following entities to bill medicare on her behalf.
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
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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. Dr Sherryl Gaye 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 Sherryl Gaye Gordon, MD 601 Jennings Ave, Eustis, FL 32726-6148 Ph: (352) 357-5311 | Dr Sherryl Gaye Gordon, MD 601 E Jennings Ave, Eustis, FL 32726-6148 Ph: (352) 357-5311 |
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