Amanda B Gordon, FNP in Saint Louis, MO - Medicare Nurse Practitioner

Amanda B Gordon, FNP is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emergency Physicians Of St Lukes Llc, Ssm Health Care St Louis and her current practice location is 30 Ronnies Plz, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 989-6807.

Amanda B Gordon is licensed to practice in Missouri (license number 2017007862) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780103143.

Contact Information

	Amanda B Gordon, FNP
	30 Ronnies Plz, Saint Louis, MO 63126-3552
	(314) 989-6807
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda B Gordon
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	30 Ronnies Plz, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda B Gordon graduated from nursing school in 2016

NPI Data:

NPI Number: 1780103143
Provider Enumeration Date: 09/15/2017
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1850666462
Enrollment ID: I20171009000411

Medical Identifiers

Medical identifiers for Amanda B Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780103143	NPI	-	NPPES
1780103143	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	14987 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	2017007862 (Missouri)	Secondary
363L00000X	Nurse Practitioner	2017007862 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm St Clare Health Center	Fenton, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Physicians Of St Lukes Llc	3779714142	57
Ssm Health Care St Louis	7810800737	143

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. Amanda B Gordon allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care St Louis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

Entity Name	Emergency Physicians Of St Lukes Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965

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. Amanda B 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
Amanda B Gordon, FNP Po Box 955534, Saint Louis, MO 63195-5534 Ph: () -	Amanda B Gordon, FNP 30 Ronnies Plz, Saint Louis, MO 63126-3552 Ph: (314) 989-6807

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Amanda B Gordon, FNP - Medicare Nurse Practitioner in Saint Louis, MO