Diane Gordon, MSPT is a medicare enrolled "Physical Therapist" provider in Lucas, Texas. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Ideal Physical Therapy Of Texas Llc and her current practice location is
491 S Angel Pkwy Ste 400, Lucas, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 737-6161.
Diane Gordon is licensed to practice in Texas (license number 1152560) 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 1346682531.
Healthcare Provider's Profile
| Full Name | Diane Gordon |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 31 Years |
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| Location | 491 S Angel Pkwy Ste 400, Lucas, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diane Gordon graduated from medical school in 1993
NPI Data:
- NPI Number: 1346682531
- Provider Enumeration Date: 07/29/2013
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850524745
- Enrollment ID: I20140430000287
Medical Identifiers
Medical identifiers for Diane Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346682531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1152560 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ideal Physical Therapy Of Texas Llc | 0547583809 | 278 |
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. Diane Gordon allows following entities to bill medicare on her behalf.
| Provider Name | Ideal Physical Therapy Of Texas Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1538573746
PECOS PAC ID: 0547583809
Enrollment ID: O20141218000890 |
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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. Diane 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 |
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Diane Gordon, MSPT
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: () - | Diane Gordon, MSPT
491 S Angel Pkwy Ste 400,
Lucas, TX 75002-4802
Ph: (972) 737-6161 |
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