Mr Eitan M Gordon, EDS - Psychologist in Lebanon, IN

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Mr Eitan M Gordon, EDS is a Psychologist - School based in Lebanon, Indiana. Mr Eitan M Gordon is licensed to practice in Indiana (license number 10283464) and his current practice location is 1810 N Grant St, Lebanon, Indiana. He can be reached at his office (for appointments etc.) via phone at (773) 742-2487.

NPI number for Mr Eitan M Gordon is 1417455452 and his current mailing address is 1810 N Grant St, Lebanon, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417455452.

Contact Information

Mr Eitan M Gordon, EDS
1810 N Grant St,
Lebanon, IN 46052-1242
(773) 742-2487
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Eitan M Gordon
GenderMale
SpecialityPsychologist - School
Location1810 N Grant St, Lebanon, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417455452
  • Provider Enumeration Date: 01/24/2018
  • Last Update Date: 10/28/2024

Medical Identifiers

Medical identifiers for Mr Eitan M Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417455452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 10283464 (Indiana)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. Mr Eitan M Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Eitan M Gordon, EDS
1810 N Grant St,
Lebanon, IN 46052-1242

Ph: (765) 483-3090		Mr Eitan M Gordon, EDS
1810 N Grant St,
Lebanon, IN 46052-1242

Ph: (773) 742-2487

Reviews and Comments


Psychologist in Lebanon, IN

Abigail Gliva,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Lakeshore Dr, Lebanon, IN 46052
Phone: 765-483-3090    
Alyssa Marie Kregloh, PSYD, HSPP
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1600 W Main St, Lebanon, IN 46052
Phone: 317-574-1254    Fax: 317-674-0060

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.