Denise Gordon, is a
Licensed Practical Nurse based in Rochester, Michigan. Denise Gordon is licensed to practice in Michigan (license number 4703084690) and her current practice location is
436 Romeo Rd Unit 225, Rochester, Michigan. She can be reached at her office (for appointments etc.) via phone at
(254) 426-0750.
NPI number for Denise Gordon is 1871050724 and her current mailing address is 436 Romeo Rd Unit 225, Rochester, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871050724.
Provider's Profile
Full Name | Denise Gordon |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 436 Romeo Rd Unit 225, Rochester, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871050724
- Provider Enumeration Date: 02/27/2019
- Last Update Date: 01/24/2024
Medical Identifiers
Medical identifiers for Denise Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871050724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703084690 (Michigan) | Primary |
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. Denise Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Denise Gordon, 436 Romeo Rd Unit 225, Rochester, MI 48307-1663 Ph: (254) 426-0750 | Denise Gordon, 436 Romeo Rd Unit 225, Rochester, MI 48307-1663 Ph: (254) 426-0750 |
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