Scott Gordon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ravenswood, West Virginia. His current practice location is
200 S Ritchie Ave, Ravenswood, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(844) 291-4535.
Scott Gordon is licensed to practice in Illinois (license number 036093512) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821038159.
Physician's Profile
Full Name | Scott Gordon |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 200 S Ritchie Ave, Ravenswood, West Virginia |
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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: 1821038159
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 09/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 5799715413
- Enrollment ID: I20050812000619
Medical Identifiers
Medical identifiers for Scott Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821038159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036093512 (Illinois) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 26351 (West Virginia) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 54096 (Tennessee) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | TM2015-0037 (New Mexico) | Secondary |
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. Scott Gordon allows following entities to bill medicare on his behalf.
Entity Name | Thriveworks Telepsychiatry - Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154099620 PECOS PAC ID: 4587035225 Enrollment ID: O20230117002207 |
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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. Scott 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 |
Scott Gordon, MD 1300 W Belmont Ave, Ste 313, Chicago, IL 60657-3200 Ph: (773) 562-4973 | Scott Gordon, MD 200 S Ritchie Ave, Ravenswood, WV 26164-1721 Ph: (844) 291-4535 |
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