Mrs Bobbi Burns Gordon, LPC in Brookhaven, MS

Mrs Bobbi Burns Gordon, LPC is a medicare enrolled "Counselor - Professional" provider in Brookhaven, Mississippi. Her current practice location is 212 S Whitworth Ave, Brookhaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 822-2286.

Mrs Bobbi Burns Gordon is licensed to practice in Mississippi (license number 2387) 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 1912531005.

Contact Information

	Mrs Bobbi Burns Gordon, LPC
	212 S Whitworth Ave, Brookhaven, MS 39601
	(601) 822-2286
	(601) 822-2296

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Bobbi Burns Gordon
Gender	Female
Speciality	Counselor - Professional
Location	212 S Whitworth Ave, Brookhaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912531005
Provider Enumeration Date: 02/27/2020
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 3971025008
Enrollment ID: I20250318003946

Medical Identifiers

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

Identifier	Type	State	Issuer
1912531005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	2387 (Mississippi)	Secondary
101YM0800X	Counselor - Mental Health	2387 (Mississippi)	Secondary
101YP2500X	Counselor - Professional	2387 (Mississippi)	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 Bobbi Burns Gordon allows following entities to bill medicare on her behalf.

Entity Name	Ascend Counseling And Consulting Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245808815 PECOS PAC ID: 2062934193 Enrollment ID: O20250318003940

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 Bobbi Burns 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 Bobbi Burns Gordon, LPC Po Box 3879, Brookhaven, MS 39603-7879 Ph: (601) 822-2286	Mrs Bobbi Burns Gordon, LPC 212 S Whitworth Ave, Brookhaven, MS 39601 Ph: (601) 822-2286

Reviews and Comments

Counselor in Brookhaven, MS

Kristi D. Webber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Highway 51 N, Brookhaven, MS 39601 Phone: 601-990-2513
Elizabeth Danielle Robin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 Highway 51 N, Brookhaven, MS 39601 Phone: 601-823-2345
Jutoyura Hampton, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Highway 51 N, Brookhaven, MS 39601 Phone: 662-823-2345
Kersten Vanem, MS PMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Highway 51 N, Brookhaven, MS 39601 Phone: 601-990-2513
Lakeshia Lashon Thomas, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Highway 51 N, Brookhaven, MS 39601 Phone: 601-823-2345 Fax: 601-833-3752
Youlanda Mcclain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1377 Johnny Johnson Dr, Brookhaven, MS 39601 Phone: 601-990-2398
Ju'daijah Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1377 Johnny Johnson Dr, Brookhaven, MS 39601 Phone: 601-990-2398 Fax: 601-990-2232

Mrs Bobbi Burns Gordon, LPC - Medicare Counselor in Brookhaven, MS