Clifford I Gordon, EDD is a medicare enrolled "Psychologist" provider in Pascoag, Rhode Island. His current practice location is
36 Bridge Way, Pascoag, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 568-7661.
Clifford I Gordon is licensed to practice in Rhode Island (license number PS00331) 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 1942306675.
Healthcare Provider's Profile
| Full Name | Clifford I Gordon |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 36 Bridge Way, Pascoag, Rhode Island |
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| Accepts Medicare Assignments | Yes. He 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:
- Clifford I Gordon attended and graduated from in
NPI Data:
- NPI Number: 1942306675
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 04/08/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Clifford I Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942306675 | NPI | - | NPPES |
| 193805 | Other | RI | HARVARD PILGRIM |
| 7057168 | Medicaid | RI | |
| 00-5303 | Other | RI | BCHIP |
| 0716 | Other | RI | NEIGHBORHOOD |
| 411814 | Other | RI | MEDICARE GROUP |
| 61-00445 | Other | RI | UNITED HEALTH |
| 304940 | Other | RI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS00331 (Rhode Island) | Primary |
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. Clifford I 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 |
|---|
Clifford I Gordon, EDD
18 Old Chimney Rd,
Barrington, RI 02806-3243
Ph: (401) 247-2798 | Clifford I Gordon, EDD
36 Bridge Way,
Pascoag, RI 02859-3131
Ph: (401) 568-7661 |
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