Deitrick Leellen Gorman, DO in Modesto, CA

Deitrick Leellen Gorman, DO is a medicare enrolled "Family Medicine" physician in Modesto, California. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Reeves County Hospital District and her current practice location is 600 Coffee Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 550-4755.

Deitrick Leellen Gorman is licensed to practice in California (license number 20A21341) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649281569.

Contact Information

	Deitrick Leellen Gorman, DO
	600 Coffee Rd, Modesto, CA 95355-4201
	(209) 550-4755
	(510) 491-7522

Map and Direction

Physician's Profile

Full Name	Deitrick Leellen Gorman
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	600 Coffee Rd, Modesto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Deitrick Leellen Gorman graduated from medical school in 2006

NPI Data:

NPI Number: 1649281569
Provider Enumeration Date: 08/10/2006
Last Update Date: 05/26/2026

Medicare PECOS Information:

PECOS PAC ID: 1456430107
Enrollment ID: I20100322000793

Medical Identifiers

Medical identifiers for Deitrick Leellen Gorman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649281569	NPI	-	NPPES
211545301	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A21341 (California)	Primary
207Q00000X	Family Medicine	N4435 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Reeves County Hospital District	Pecos, TX	Hospital
Adventist Health Sonora	Sonora, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Reeves County Hospital District	2567353469	26

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. Deitrick Leellen Gorman allows following entities to bill medicare on her behalf.

Entity Name	Reeves County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447417209 PECOS PAC ID: 2567353469 Enrollment ID: O20040503001121

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. Deitrick Leellen Gorman 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
Deitrick Leellen Gorman, DO Po Box 255228, Sacramento, CA 95865-5228 Ph: (800) 470-0071	Deitrick Leellen Gorman, DO 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 550-4755

Reviews and Comments

Family Medicine Doctors in Modesto, CA

Dr. Chun Joey Chang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Paradise Rd, #e, Modesto, CA 95351 Phone: 209-558-5107
Cyrus M Rabii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Van Dinh, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-573-6147 Fax: 209-573-6185
Pallavi Sharma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Dang Cong Nguyen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Paradise Rd Ste E, Modesto, CA 95351 Phone: 209-558-4000
Gustavo M Galeano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3612 Dale Rd, Modesto, CA 95356 Phone: 209-522-0146
Giang Ngoc Lam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Florida Ave, Suite 200, Modesto, CA 95350 Phone: 209-577-3388 Fax: 209-523-0764

Deitrick Leellen Gorman, DO - Medicare Family Practice in Modesto, CA