Sarah Joan Gordon, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
1027 E Burnside Street, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 239-8400.
Sarah Joan Gordon is licensed to practice in Oregon (license number 7156) 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 1881945103.
Healthcare Provider's Profile
| Full Name | Sarah Joan Gordon |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1027 E Burnside Street, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881945103
- Provider Enumeration Date: 09/26/2012
- Last Update Date: 02/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 1456790104
- Enrollment ID: I20240415003090
Medical Identifiers
Medical identifiers for Sarah Joan Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881945103 | NPI | - | NPPES |
| A097725000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 19093 (Minnesota) | Secondary |
| 103K00000X | Behavior Analyst | 19093 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 19093 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7156 (Oregon) | 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. Sarah Joan Gordon allows following entities to bill medicare on her behalf.
| Entity Name | Willamette Health & Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093140188
PECOS PAC ID: 6204275100
Enrollment ID: O20240411001903 |
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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. Sarah Joan 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 |
|---|
Sarah Joan Gordon, LICSW
1027 E. Burnside St,
Portland, OR 97216
Ph: (503) 239-8400 | Sarah Joan Gordon, LICSW
1027 E Burnside Street,
Portland, OR 97216-1280
Ph: (503) 239-8400 |
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