Evadney Dawnmarie Gordon, NP is a
Clinical Nurse Specialist - Adult Health based in Medford, New York. Evadney Dawnmarie Gordon is licensed to practice in New York (license number 305179-1) and her current practice location is
127 Maple Ln, Medford, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 926-7557.
NPI number for Evadney Dawnmarie Gordon is 1821324609 and her current mailing address is 127 Maple Ln, Medford, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821324609.
Provider's Profile
| Full Name | Evadney Dawnmarie Gordon |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 127 Maple Ln, Medford, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821324609
- Provider Enumeration Date: 10/28/2009
- Last Update Date: 10/28/2009
Medical Identifiers
Medical identifiers for Evadney Dawnmarie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821324609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 305179-1 (New York) | 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. Evadney Dawnmarie 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 Address | Practice Location Address |
|---|
Evadney Dawnmarie Gordon, NP
127 Maple Ln,
Medford, NY 11763-1027
Ph: () - | Evadney Dawnmarie Gordon, NP
127 Maple Ln,
Medford, NY 11763-1027
Ph: (631) 926-7557 |
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