Mrs Amber Annab Gordon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rocky Point, North Carolina. Her current practice location is
106 Teel Ct, Rocky Point, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 270-0957.
Mrs Amber Annab Gordon is licensed to practice in North Carolina (license number GORD-2OB89) 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 1841990538.
Provider's Profile
Full Name | Mrs Amber Annab Gordon |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 106 Teel Ct, Rocky Point, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841990538
- Provider Enumeration Date: 03/09/2023
- Last Update Date: 01/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193160976
- Enrollment ID: I20240303000059
Medical Identifiers
Medical identifiers for Mrs Amber Annab Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841990538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 5019126 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | GORD-2OB89 (North 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. Mrs Amber Annab Gordon allows following entities to bill medicare on her behalf.
Entity Name | Novant Health Medical Group Coastal Region Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
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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. Mrs Amber Annab 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 |
Mrs Amber Annab Gordon, FNP 106 Teel Ct, Rocky Point, NC 28457-9589 Ph: (919) 270-0957 | Mrs Amber Annab Gordon, FNP 106 Teel Ct, Rocky Point, NC 28457-9589 Ph: (919) 270-0957 |
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