Joanne Gordon, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Hampton, New Jersey. Her current practice location is
34 Robin Ct, Hampton, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 227-6996.
Joanne Gordon is licensed to practice in Pennsylvania (license number DN004575) 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 1184917718.
Healthcare Provider's Profile
| Full Name | Joanne Gordon |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 34 Robin Ct, Hampton, New Jersey |
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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: 1184917718
- Provider Enumeration Date: 05/16/2011
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305024563
- Enrollment ID: I20190828000390
Medical Identifiers
Medical identifiers for Joanne Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184917718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DN004575 (Pennsylvania) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
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. Joanne Gordon allows following entities to bill medicare on her behalf.
| Provider Name | Your Personal Nutritionist Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275345084
PECOS PAC ID: 1052831807
Enrollment ID: O20250224001087 |
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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. Joanne 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 |
|---|
Joanne Gordon, RD, LDN
34 Robin Ct,
Hampton, NJ 08827-2508
Ph: (908) 227-6996 | Joanne Gordon, RD, LDN
34 Robin Ct,
Hampton, NJ 08827-2508
Ph: (908) 227-6996 |
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