Jack Gordon, LCSW in North Chicago, IL - Medicare Clinical Social Worker Provider

Jack Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in North Chicago, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Cherry Hill Associates, Llc and his current practice location is 3001 Green Bay Rd, Building 66, North Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (224) 475-1279.

Jack Gordon is licensed to practice in Illinois (license number 149018407) 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 1750735510.

Contact Information

	Jack Gordon, LCSW
	3001 Green Bay Rd, Building 66, North Chicago, IL 60064-3048
	(224) 475-1279
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Gordon
Gender	Male
Speciality	Clinical Social Worker
Experience	10 Years
Location	3001 Green Bay Rd, North Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack Gordon graduated from medical school in 2014

NPI Data:

NPI Number: 1750735510
Provider Enumeration Date: 04/19/2016
Last Update Date: 04/19/2016

Medicare PECOS Information:

PECOS PAC ID: 0244595841
Enrollment ID: I20180601000929

Medical Identifiers

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

Identifier	Type	State	Issuer
1750735510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149018407 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cherry Hill Associates, Llc	1557523552	8

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. Jack Gordon allows following entities to bill medicare on his behalf.

Entity Name	Cherry Hill Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225277668 PECOS PAC ID: 1557523552 Enrollment ID: O20120509000449

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. Jack 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
Jack Gordon, LCSW 3001 Green Bay Rd, Building 66, North Chicago, IL 60064-3048 Ph: (224) 475-1279	Jack Gordon, LCSW 3001 Green Bay Rd, Building 66, North Chicago, IL 60064-3048 Ph: (224) 475-1279

Reviews and Comments

Social Worker in North Chicago, IL

Ms. Shirley Ann Hoffman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-5901 Fax: 224-610-2949
Sherisa R Benson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, Bldg 131/rm63, North Chicago, IL 60064 Phone: 847-456-5536
Michelle Therese Dubil, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900
Ms. Susan Margaret Regan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-2018
Ms. Karen Lee Banky-livasy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-3719 Fax: 224-610-3885
Justin Padaoan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1800
Mr. Sam Abraham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, Bldg 131, Room 132, North Chicago, IL 60064 Phone: 224-610-5833

Jack Gordon, LCSW - Medicare Clinical Social Worker in North Chicago, IL