Dr Nicole Marie Gordon, OD - Medicare Optometrist in Raleigh, NC

Dr Nicole Marie Gordon, OD is a medicare enrolled "Optometrist" provider in Raleigh, North Carolina. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Baxter J Smith Jr Od Pa and her current practice location is 4325 Glenwood Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 792-2347.

Dr Nicole Marie Gordon is licensed to practice in North Carolina (license number 2192) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588974224.

Contact Information

Dr Nicole Marie Gordon, OD
4325 Glenwood Ave,
Raleigh, NC 27612-4532
(919) 792-2347
(919) 457-1455

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole Marie Gordon
GenderFemale
SpecialityOptometry
Experience14 Years
Location4325 Glenwood Ave, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Marie Gordon graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1588974224
  • Provider Enumeration Date: 10/15/2010
  • Last Update Date: 12/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6800077637
  • Enrollment ID: I20110225000665

Medical Identifiers

Medical identifiers for Dr Nicole Marie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588974224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2192 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baxter J Smith Jr Od Pa14565148764

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. Dr Nicole Marie Gordon allows following entities to bill medicare on her behalf.
Provider NameBaxter J Smith Jr Od Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003011446
PECOS PAC ID: 1456514876
Enrollment ID: O20120523000217

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. Dr Nicole Marie 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 AddressPractice Location Address
Dr Nicole Marie Gordon, OD
4325 Glenwood Ave,
Raleigh, NC 27612-4532

Ph: (919) 792-2347
Dr Nicole Marie Gordon, OD
4325 Glenwood Ave,
Raleigh, NC 27612-4532

Ph: (919) 792-2347

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.