Ronny Keith Gordon Jr, APRN in Oklahoma City, OK

Ronny Keith Gordon Jr, APRN is a medicare enrolled "Nurse Practitioner - Family" in Oklahoma City, Oklahoma. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mercy Oklahoma Ambulatory Services Llc and his current practice location is 13509 N Meridian Ave, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 937-7422.

Ronny Keith Gordon Jr is licensed to practice in Oklahoma (license number R0105864) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427673649.

Contact Information

	Ronny Keith Gordon Jr, APRN
	13509 N Meridian Ave, Oklahoma City, OK 73120-8397
	(405) 937-7422
	(405) 848-3591

Map and Direction

Provider's Profile

Full Name	Ronny Keith Gordon Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	13509 N Meridian Ave, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ronny Keith Gordon Jr graduated from nursing school in 2020

NPI Data:

NPI Number: 1427673649
Provider Enumeration Date: 06/12/2020
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 7214343789
Enrollment ID: I20210308001746

Medical Identifiers

Medical identifiers for Ronny Keith Gordon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427673649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R0105864 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Oklahoma Ambulatory Services Llc	9830447036	43

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. Ronny Keith Gordon Jr allows following entities to bill medicare on his behalf.

Entity Name	Icare Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881190833 PECOS PAC ID: 0840555777 Enrollment ID: O20180524001890

Entity Name	Mercy Oklahoma Ambulatory Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922509173 PECOS PAC ID: 9830447036 Enrollment ID: O20180803002054

Entity Name	Aegis Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184257123 PECOS PAC ID: 8123459484 Enrollment ID: O20200827000642

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. Ronny Keith Gordon Jr 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
Ronny Keith Gordon Jr, APRN 475 Grigsby St, Newcastle, OK 73065-5950 Ph: (405) 361-9614	Ronny Keith Gordon Jr, APRN 13509 N Meridian Ave, Oklahoma City, OK 73120-8397 Ph: (405) 937-7422

Reviews and Comments

Nurse Practitioner Nurses in Oklahoma City, OK

Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202
Mrs. Judy Kay Kellogg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708
Mrs. Darbi Lynne Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-608-3838
Tammy Ann Harrelson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134 Phone: 405-606-2727 Fax: 405-606-7040
Liji Seilas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111 Phone: 405-521-8486 Fax: 405-521-8496
Mrs. Rachel Leigh Cross, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104 Phone: 405-271-4412
Gretchen Fatherree, APRN, CNP-NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, Etnp 7504, Oklahoma City, OK 73104 Phone: 405-271-5215

Ronny Keith Gordon Jr, APRN - Medicare Nurse Practitioner in Oklahoma City, OK