Mrs Callie Gordon, LPC in San Angelo, TX - Medicare Counselor Provider

Mrs Callie Gordon, LPC is a medicare enrolled "Counselor - Professional" provider in San Angelo, Texas. Her current practice location is 3555 Knickerbocker Rd, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 747-2225.

Mrs Callie Gordon is licensed to practice in Texas (license number 79618) 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 1760061097.

Contact Information

	Mrs Callie Gordon, LPC
	3555 Knickerbocker Rd, San Angelo, TX 76904-7610
	(325) 747-2225
	(325) 747-8034

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Callie Gordon
Gender	Female
Speciality	Counselor - Professional
Location	3555 Knickerbocker Rd, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760061097
Provider Enumeration Date: 04/05/2021
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 3971949413
Enrollment ID: I20240307000551

Medical Identifiers

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

Identifier	Type	State	Issuer
1760061097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	79618 (Texas)	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. Mrs Callie Gordon allows following entities to bill medicare on her behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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. Mrs Callie 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
Mrs Callie Gordon, LPC 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 747-2225	Mrs Callie Gordon, LPC 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 747-2225

Reviews and Comments

Counselor in San Angelo, TX

Joan Patricia Deming-combs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3821 High Meadow Dr, San Angelo, TX 76904 Phone: 325-212-4742
Vanessa Rae King, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-262-1982
Mr. Joshua Jibben, LCDC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 3553 W Houston Harte Expy, San Angelo, TX 76901 Phone: 325-224-7236
Savannah Torres, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-947-5021
Mr. Bryan Mitchell Elliott, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Johnson Ave, San Angelo, TX 76904 Phone: 325-949-3701 Fax: 325-947-3585
Mr. Armando Dominguez, M.S., LPC Counselor Medicare: Medicare Enrolled Practice Location: 917 S Abe St, #b4, San Angelo, TX 76903 Phone: 325-650-0330 Fax: 866-652-9689
Cindy Gonzalez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4240 Southwest Blvd, San Angelo, TX 76904 Phone: 800-472-1365

Mrs Callie Gordon, LPC - Medicare Counselor in San Angelo, TX