Simone Antoinette Gordon, in Pineville, NC - Medicare Nurse Practitioner

Simone Antoinette Gordon, is a medicare enrolled "Nurse Practitioner" in Pineville, North Carolina. Her current practice location is 9101 Pineville Matthews Rd # C4, Pineville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 202-7920.

Simone Antoinette Gordon is licensed to practice in North Carolina (license number 5017312) 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 1518638428.

Contact Information

	Simone Antoinette Gordon,
	9101 Pineville Matthews Rd # C4, Pineville, NC 28134-8840
	(980) 202-7920
	(980) 301-9830

Map and Direction

Provider's Profile

Full Name	Simone Antoinette Gordon
Gender	Female
Speciality	Nurse Practitioner
Location	9101 Pineville Matthews Rd # C4, Pineville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518638428
Provider Enumeration Date: 09/22/2021
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3577937689
Enrollment ID: I20230313000897

Medical Identifiers

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

Identifier	Type	State	Issuer
1518638428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F03210140 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5017312 (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. Simone Antoinette Gordon allows following entities to bill medicare on her behalf.

Entity Name	Nh-cl Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487276499 PECOS PAC ID: 6305262692 Enrollment ID: O20200818000206

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. Simone Antoinette 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
Simone Antoinette Gordon, Po Box 604050, Charlotte, NC 28260-4050 Ph: () -	Simone Antoinette Gordon, 9101 Pineville Matthews Rd # C4, Pineville, NC 28134-8840 Ph: (980) 202-7920

Reviews and Comments

Nurse Practitioner Nurses in Pineville, NC

Mr. Anthony Mcneill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10915 Downs Rd, Pineville, NC 28134 Phone: 704-756-7294
Nyoka S. Dunbar, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12130 Monkstown Dr, Pineville, NC 28134 Phone: 843-670-7388
Zena Al-abed, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11025 Carolina Place Pkwy, Pineville, NC 28134 Phone: 404-800-5181
Corinne P Meynardie, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9101 Pineville Matthews Rd Ste C4, Pineville, NC 28134 Phone: 980-202-7920 Fax: 980-301-9830
Payal Khanna, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Mindpath Health, 11940 Carolina Place Pkwy, Pineville, NC 28134 Phone: 704-325-5522
Jaleesa Mariah Oset, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9101 Pineville Matthews Rd Ste C4, Pineville, NC 28134 Phone: 980-202-7920 Fax: 980-301-9830

Simone Antoinette Gordon, - Medicare Nurse Practitioner in Pineville, NC