Lisa Gordon, FNP in Orangeburg, SC - Medicare Nurse Practitioner

Lisa Gordon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Orangeburg, South Carolina. Her current practice location is 1175 Cook Rd, Suite 230, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 395-3900.

Lisa Gordon is licensed to practice in South Carolina (license number 18441) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497187744.

Contact Information

	Lisa Gordon, FNP
	1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201
	(803) 395-3900
	(803) 395-3920

Map and Direction

Provider's Profile

Full Name	Lisa Gordon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1175 Cook Rd, Orangeburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497187744
Provider Enumeration Date: 08/08/2013
Last Update Date: 01/09/2015

Medicare PECOS Information:

PECOS PAC ID: 8820222516
Enrollment ID: I20131011001474

Medical Identifiers

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

Identifier	Type	State	Issuer
1497187744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	18441 (South Carolina)	Primary

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. Lisa Gordon allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630

Entity Name	The Regional Medical Center Of Orangeburg And Calhoun Counties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164496527 PECOS PAC ID: 8527970771 Enrollment ID: O20040202001087

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. Lisa 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
Lisa Gordon, FNP Po Box 1245, Orangeburg, SC 29116-1245 Ph: (803) 395-4561	Lisa Gordon, FNP 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 Ph: (803) 395-3900

Reviews and Comments

Nurse Practitioner Nurses in Orangeburg, SC

Catherine Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115 Phone: 843-701-6387
Shannon W Easterlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-3118
Monica Monique Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Constance Gainey Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Vincent Bernard Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900
Ms. Erica Thompson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118 Phone: 803-535-3600
Cortney Powell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-7242 Fax: 803-747-7243

Lisa Gordon, FNP - Medicare Nurse Practitioner in Orangeburg, SC