Shawn R Gorden, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Manchester, Kentucky. He went to Medical College Of Georgia School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Memorial Hospital, Inc. and his current practice location is
56 Marie Langdon Dr, Manchester, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 599-4080.
Shawn R Gorden is licensed to practice in Kentucky (license number 39057) 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 1851482947.
Physician's Profile
| Full Name | Shawn R Gorden |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 25 Years |
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| Location | 56 Marie Langdon Dr, Manchester, Kentucky |
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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:
- Shawn R Gorden attended and graduated from Medical College Of Georgia School Of Medicine in 1999
NPI Data:
- NPI Number: 1851482947
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466416011
- Enrollment ID: I20041117000273
Medical Identifiers
Medical identifiers for Shawn R Gorden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851482947 | NPI | - | NPPES |
| 64091820 | Medicaid | KY | |
| 215019501 | Medicaid | TX | |
| 11356327 | Other | | CAQH ID |
| 2552545 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 39057 (Kentucky) | Secondary |
| 207V00000X | Obstetrics & Gynecology | L3666 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 39057 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Memorial Hospital, Inc. | 4486616141 | 47 |
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. Shawn R Gorden allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831150119
PECOS PAC ID: 4486616141
Enrollment ID: O20041103001183 |
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| Entity Name | Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255471827
PECOS PAC ID: 4486616141
Enrollment ID: O20141210002155 |
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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. Shawn R Gorden 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 |
|---|
Shawn R Gorden, MD
509 Memorial Dr Ste 2,
Manchester, KY 40962-6196
Ph: (606) 598-5104 | Shawn R Gorden, MD
56 Marie Langdon Dr,
Manchester, KY 40962-6329
Ph: (606) 599-4080 |
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