Shannon Gordy, PSYD in Dunmore, PA - Medicare Psychologist Provider

Shannon Gordy, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dunmore, Pennsylvania. Her current practice location is 502 N Blakely St, Dunmore, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 342-8434.

Shannon Gordy is licensed to practice in Pennsylvania (license number PS019950) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245912278.

Contact Information

	Shannon Gordy, PSYD
	502 N Blakely St, Dunmore, PA 18512-1943
	(570) 342-8434
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Gordy
Gender	Female
Speciality	Psychologist - Clinical
Location	502 N Blakely St, Dunmore, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245912278
Provider Enumeration Date: 08/01/2023
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2567816085
Enrollment ID: I20231002001931

Medical Identifiers

Medical identifiers for Shannon Gordy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245912278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS019950 (Pennsylvania)	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. Shannon Gordy allows following entities to bill medicare on her behalf.

Entity Name	Tiffany Griffiths Psy D & Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649507831 PECOS PAC ID: 5496907776 Enrollment ID: O20121213000057

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. Shannon Gordy 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
Shannon Gordy, PSYD 1251 Wyoming Ave, Exeter, PA 18643-1434 Ph: (570) 342-8434	Shannon Gordy, PSYD 502 N Blakely St, Dunmore, PA 18512-1943 Ph: (570) 342-8434

Reviews and Comments

Psychologist in Dunmore, PA

Dr. Tiffany Marie Griffiths, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 502 N Blakely St, Dunmore, PA 18512 Phone: 570-342-8434 Fax: 570-342-7446
Angela Farris, LCSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1141 Clay Ave Ste 2, Dunmore, PA 18510 Phone: 570-207-7919 Fax: 570-963-1953
Mary P Cunningham, MA Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1141 Clay Ave, Dunmore, PA 18510 Phone: 570-207-1429 Fax: 570-963-1953
Allison Jane Little, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 502 N Blakely St, Dunmore, PA 18512 Phone: 570-342-8434
Mrs. Lisa L Starr, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1141 Clay Ave, Dunmore, PA 18510 Phone: 570-343-3030 Fax: 570-558-0777
Mr. Gerald Augustus Solfanelli, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1141 Clay Ave, Dunmore, PA 18510 Phone: 570-343-6838 Fax: 570-558-7247

Shannon Gordy, PSYD - Medicare Psychologist in Dunmore, PA