Heather Gordy, NP in Mishawaka, IN - Medicare Nurse Practitioner

Heather Gordy, NP is a medicare enrolled "Nurse Practitioner - Family" in Mishawaka, Indiana. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Bend Emergency Physicians Inc and her current practice location is 611 E Douglas Rd Ste 200, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-6850.

Heather Gordy is licensed to practice in Indiana (license number 71012042A) 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 1417619982.

Contact Information

	Heather Gordy, NP
	611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465
	(574) 335-6850
	(574) 335-0849

Map and Direction

Provider's Profile

Full Name	Heather Gordy
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	611 E Douglas Rd Ste 200, Mishawaka, Indiana
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:

Heather Gordy graduated from nursing school in 2021

NPI Data:

NPI Number: 1417619982
Provider Enumeration Date: 10/12/2021
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3971994112
Enrollment ID: I20211227000408

Medical Identifiers

Medical identifiers for Heather Gordy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417619982	NPI	-	NPPES
1102223470	Other	IN	ANTHEM
300057950	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71012042A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital
Memorial Hospital Of South Bend	South bend, IN	Hospital
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Bend Emergency Physicians Inc	0941282354	45

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. Heather Gordy allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

Entity Name	Saint Joseph Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757

Entity Name	Hospitalist Medicine Physicians Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842

Entity Name	South Bend Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947

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. Heather Gordy 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
Heather Gordy, NP 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () -	Heather Gordy, NP 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 Ph: (574) 335-6850

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Heather Gordy, NP - Medicare Nurse Practitioner in Mishawaka, IN