Hailey M Gordon, PA-C - Medicare Nurse Practitioner in Meridian, ID

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Hailey M Gordon, PA-C is a medicare enrolled "Nurse Practitioner" in Meridian, Idaho. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 260 S Ten Mile Rd, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 809-2872.

Hailey M Gordon is licensed to practice in Idaho (license number 53504) 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 1275175291.

Contact Information

Hailey M Gordon, PA-C
260 S Ten Mile Rd,
Meridian, ID 83642-6100
(208) 809-2872
Not Available

Map and Direction




Provider's Profile

Full NameHailey M Gordon
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location260 S Ten Mile Rd, Meridian, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hailey M Gordon graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1275175291
  • Provider Enumeration Date: 10/10/2019
  • Last Update Date: 07/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204269343
  • Enrollment ID: I20191204001458

Medical Identifiers

Medical identifiers for Hailey M Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275175291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 53504 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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. Hailey M Gordon allows following entities to bill medicare on her behalf.
Entity NameAlliance Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568413920
PECOS PAC ID: 3971544685
Enrollment ID: O20050512000561
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Hailey M 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 AddressPractice Location Address
Hailey M Gordon, PA-C
Po Box 191050,
Boise, ID 83719-1050

Ph: (208) 955-6500		Hailey M Gordon, PA-C
260 S Ten Mile Rd,
Meridian, ID 83642-6100

Ph: (208) 809-2872

Reviews and Comments


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Sarah Cheree Johnson, NP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.