Michael A Gordon, PHD - Medicare Psychologist in Duluth, GA

Michael A Gordon, PHD is a medicare enrolled "Psychologist" provider in Duluth, Georgia. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 3650 Steve Reynolds Blvd, Department Of Behavioral Health, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 931-6012.

Michael A Gordon is licensed to practice in Georgia (license number PSY002028) 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 1508958489.

Contact Information

Michael A Gordon, PHD
3650 Steve Reynolds Blvd, Department Of Behavioral Health,
Duluth, GA 30096-4506
(770) 931-6012
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMichael A Gordon
GenderMale
SpecialityClinical Psychologist
Experience30 Years
Location3650 Steve Reynolds Blvd, Duluth, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael A Gordon graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1508958489
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658348321
  • Enrollment ID: I20040913000719

Medical Identifiers

Medical identifiers for Michael A Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508958489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY002028 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013660

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. Michael A Gordon allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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. Michael A 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
Michael A Gordon, PHD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717

Ph: (404) 364-7000
Michael A Gordon, PHD
3650 Steve Reynolds Blvd, Department Of Behavioral Health,
Duluth, GA 30096-4506

Ph: (770) 931-6012

Reviews and Comments


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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.

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