Dr Gordon E Mackinnon, PH D in Southfield, MI - Medicare Psychologist Provider

Dr Gordon E Mackinnon, PH D is a medicare enrolled "Psychologist - Clinical" provider in Southfield, Michigan. His current practice location is 17336 W 12 Mile Rd Ste 101, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 583-9362.

Dr Gordon E Mackinnon is licensed to practice in Michigan (license number 6301006861) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811086697.

Contact Information

	Dr Gordon E Mackinnon, PH D
	17336 W 12 Mile Rd Ste 101, Southfield, MI 48076-2113
	(248) 583-9362
	(248) 879-6774

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gordon E Mackinnon
Gender	Male
Speciality	Psychologist - Clinical
Location	17336 W 12 Mile Rd Ste 101, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811086697
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7214020650
Enrollment ID: I20080626000191

Medical Identifiers

Medical identifiers for Dr Gordon E Mackinnon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811086697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301006861 (Michigan)	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. Dr Gordon E Mackinnon allows following entities to bill medicare on his behalf.

Entity Name	United Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407947658 PECOS PAC ID: 8921197807 Enrollment ID: O20071129000492

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 Gordon E Mackinnon 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
Dr Gordon E Mackinnon, PH D 17336 W 12 Mile Rd Ste 101, Southfield, MI 48076-2113 Ph: (248) 583-9362	Dr Gordon E Mackinnon, PH D 17336 W 12 Mile Rd Ste 101, Southfield, MI 48076-2113 Ph: (248) 583-9362

Reviews and Comments

Psychologist in Southfield, MI

Lauren Ann Mclaughlin, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24719 Kinsel St, Southfield, MI 48033 Phone: 843-834-9808
Stephanie Wisniewski, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26545 American Dr, Southfield, MI 48034 Phone: 800-395-3223
Lamaurice H Gardner, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 22250 Providence Dr, Suite 207, Southfield, MI 48075 Phone: 313-576-1000
Ms. Karen Noelle Clark, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16250 Northland Drive ,ste 245, Southfield, MI 48075 Phone: 248-559-2673
Paula Christian -kliger, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17117 W 9 Mile Rd, Suite 435, Southfield, MI 48075 Phone: 248-424-0066
Dr. Dante Demitrius Dixson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16250 Northland Dr Ste 204, Southfield, MI 48075 Phone: 734-436-1511
Dr. Stacy Elizabeth Grindling, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30503 Greenfield Rd, Southfield, MI 48076 Phone: 248-691-4744

Dr Gordon E Mackinnon, PH D - Medicare Psychologist in Southfield, MI