Krista Marie Gordon, LCPC in Hagerstown, MD - Medicare Counselor Provider

Krista Marie Gordon, LCPC is a medicare enrolled "Counselor - Professional" provider in Hagerstown, Maryland. Her current practice location is 18714 North Village Shopping Center, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 733-0331.

Krista Marie Gordon is licensed to practice in Maryland (license number LC14659) 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 1023766052.

Contact Information

	Krista Marie Gordon, LCPC
	18714 North Village Shopping Center, Hagerstown, MD 21742
	(301) 733-0331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krista Marie Gordon
Gender	Female
Speciality	Counselor - Professional
Location	18714 North Village Shopping Center, Hagerstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023766052
Provider Enumeration Date: 03/18/2022
Last Update Date: 12/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5092158196
Enrollment ID: I20240206001286

Medical Identifiers

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

Identifier	Type	State	Issuer
1023766052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LGP12298 (Maryland)	Secondary
101YP2500X	Counselor - Professional	LC14659 (Maryland)	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. Krista Marie Gordon allows following entities to bill medicare on her behalf.

Entity Name	Brook Lane Behavioral Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538647748 PECOS PAC ID: 5991055022 Enrollment ID: O20180911000549

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. Krista Marie 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
Krista Marie Gordon, LCPC 18714 North Village Shopping Center, Hagerstown, MD 21742 Ph: (301) 733-0331	Krista Marie Gordon, LCPC 18714 North Village Shopping Center, Hagerstown, MD 21742 Ph: (301) 733-0331

Reviews and Comments

Counselor in Hagerstown, MD

Mr. William Thomas Menter, CCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13114 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3386 Fax: 240-313-3316
April D Lehman, L.G.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 13114 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3291 Fax: 240-313-3239
Brittany Horchner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 E Antietam St Ste 307a, Hagerstown, MD 21740 Phone: 240-513-6127
Ryann Fiery, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Burhans Blvd, Hagerstown, MD 21740 Phone: 301-791-2660
Allen L Twigg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-766-7600 Fax: 301-766-7702
Mrs. Georgette Geraldine Hughes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18714 N Village, Hagerstown, MD 21742 Phone: 301-733-0331 Fax: 301-733-4038
Brittany Kuhn, LGPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Public Sq Ste 205, Hagerstown, MD 21740 Phone: 240-724-1437

Krista Marie Gordon, LCPC - Medicare Counselor in Hagerstown, MD