Jamie Lee Gordon, LPC-S in Conway, AR - Medicare Counselor Provider

Jamie Lee Gordon, LPC-S is a medicare enrolled "Counselor - Professional" provider in Conway, Arkansas. Her current practice location is 920 Mitchell St, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 620-0162.

Jamie Lee Gordon is licensed to practice in Arkansas (license number P0509059) 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 1649383886.

Contact Information

	Jamie Lee Gordon, LPC-S
	920 Mitchell St, Conway, AR 72034-5148
	(501) 620-0162
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jamie Lee Gordon
Gender	Female
Speciality	Counselor - Professional
Location	920 Mitchell St, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649383886
Provider Enumeration Date: 08/15/2006
Last Update Date: 04/28/2024

Medicare PECOS Information:

PECOS PAC ID: 1658721964
Enrollment ID: I20231228003932

Medical Identifiers

Medical identifiers for Jamie Lee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649383886	NPI	-	NPPES
1639558398	Other		NPPES
1639558398	Other	AR	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P0509059 (Arkansas)	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. Jamie Lee Gordon allows following entities to bill medicare on her behalf.

Entity Name	Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649381120 PECOS PAC ID: 3173583564 Enrollment ID: O20041011000417

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. Jamie Lee 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
Jamie Lee Gordon, LPC-S 920 Mitchell St, Conway, AR 72034-5148 Ph: (501) 620-0162	Jamie Lee Gordon, LPC-S 920 Mitchell St, Conway, AR 72034-5148 Ph: (501) 620-0162

Reviews and Comments

Counselor in Conway, AR

Mary Louise Strain, MS LICENSED PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Todd Mcguire, Counselor Medicare: Medicare Enrolled Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-315-3344
Alison Kay Tutt, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Hogan Ln Apt 2001, Conway, AR 72034 Phone: 479-747-5290
Carol Marie Kretzmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-548-9905
James V Fudoli, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Jeff Koehn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-221-1941
Mary Elizabeth Cook, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572

Jamie Lee Gordon, LPC-S - Medicare Counselor in Conway, AR