Michelle Gordon, FNP in Peoria, AZ - Medicare Nurse Practitioner

Michelle Gordon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Arizona. Her current practice location is 15525 N 83rd Ave Ste 104, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 964-2273.

Michelle Gordon is licensed to practice in Arizona (license number 297312) 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 1326768904.

Contact Information

	Michelle Gordon, FNP
	15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820
	(480) 964-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle Gordon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15525 N 83rd Ave Ste 104, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326768904
Provider Enumeration Date: 09/01/2022
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5395114565
Enrollment ID: I20221209001328

Medical Identifiers

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

Identifier	Type	State	Issuer
1326768904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	624334 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	297312 (Arizona)	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. Michelle Gordon allows following entities to bill medicare on her behalf.

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553

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. Michelle 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
Michelle Gordon, FNP 3033 N Central Ave Ste 145, Phoenix, AZ 85012-2808 Ph: (623) 583-3001	Michelle Gordon, FNP 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 Ph: (480) 964-2273

Reviews and Comments

Nurse Practitioner Nurses in Peoria, AZ

Diana Sun Bone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9947 West Happy Valley Parkway, # 104, Peoria, AZ 85383 Phone: 623-434-5748 Fax: 623-566-9665
Kimberly Ann Flores, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12118 W Avenida Del Rey, Peoria, AZ 85383 Phone: 419-357-0958
Jania N Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16155 N 83rd Ave Ste 211, Peoria, AZ 85382 Phone: 801-369-8989
Mr. Matthew S Burrows, APRN-NP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Jessica Rivera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8101 W Louise Dr, Peoria, AZ 85383 Phone: 602-327-2421 Fax: 602-297-6964
Kimia Robinson, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Mindy Rose Magoon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9815 W Keyser Dr, Peoria, AZ 85383 Phone: 602-332-1519

Michelle Gordon, FNP - Medicare Nurse Practitioner in Peoria, AZ