Keisha Gordon-primus, FNP-BC - Medicare Nurse Practitioner in St Petersburg, FL

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Keisha Gordon-primus, FNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in St Petersburg, Florida. 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 Aldad Medical Pc, Aldad Medical Pc and her current practice location is 7901 4th St N Ste 300, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 863-4048.

Keisha Gordon-primus is licensed to practice in Florida (license number APRN9231746) 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 1093196537.

Contact Information

Keisha Gordon-primus, FNP-BC
7901 4th St N Ste 300,
St Petersburg, FL 33702-4399
(407) 863-4048
(407) 987-6560

Map and Direction




Provider's Profile

Full NameKeisha Gordon-primus
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location7901 4th St N Ste 300, St Petersburg, Florida
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:
  • Keisha Gordon-primus graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1093196537
  • Provider Enumeration Date: 06/10/2015
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961786884
  • Enrollment ID: I20170221001332

Medical Identifiers

Medical identifiers for Keisha Gordon-primus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093196537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9231746 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN9231746 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aldad Medical Pc539515220123
Aldad Medical Pc923429143663

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. Keisha Gordon-primus allows following entities to bill medicare on her behalf.
Entity NameVmd Primary Providers Central Florida Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134738974
PECOS PAC ID: 2860806197
Enrollment ID: O20210128001072
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053
Entity NameAldad Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851050215
PECOS PAC ID: 5395152201
Enrollment ID: O20211229000659
Entity NamePrimus Healthcare Affiliates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962266262
PECOS PAC ID: 1153761804
Enrollment ID: O20240429003408

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. Keisha Gordon-primus 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
Keisha Gordon-primus, FNP-BC
7901 4th St N Ste 300,
St Petersburg, FL 33702-4399

Ph: (407) 863-4048		Keisha Gordon-primus, FNP-BC
7901 4th St N Ste 300,
St Petersburg, FL 33702-4399

Ph: (407) 863-4048

Reviews and Comments


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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.