Sharon Gordon, MSN, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Tampa, Florida. Her current practice location is
6511 Gunn Hwy, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 605-1122.
Sharon Gordon is licensed to practice in Florida (license number 2022138177) 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 1568116986.
Physician's Profile
| Full Name | Sharon Gordon |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 6511 Gunn Hwy, Tampa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568116986
- Provider Enumeration Date: 02/04/2022
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739574385
- Enrollment ID: I20220316004075
Medical Identifiers
Medical identifiers for Sharon Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568116986 | NPI | - | NPPES |
| 113706100 | Medicaid | FL | |
| WITZ4 | Other | FL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 11015959 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11015959 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2022138177 (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. Sharon Gordon allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Service Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130 |
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| Entity Name | Upshaw Tms Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629560545
PECOS PAC ID: 3678819349
Enrollment ID: O20190117000340 |
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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. Sharon 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 |
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Sharon Gordon, MSN, APRN, FNP-BC
2 Tampa General Cir,
Tampa, FL 33606-3571
Ph: (813) 259-8857 | Sharon Gordon, MSN, APRN, FNP-BC
6511 Gunn Hwy,
Tampa, FL 33625-4021
Ph: (813) 605-1122 |
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