| Dr Maxie Lerone Gordon, MD | |
|
590 Springridge Rd, Clinton, MS 39056-5606 | |
| (601) 488-8101 | |
| (866) 499-2129 |
| Full Name | Dr Maxie Lerone Gordon |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 31 Years |
| Location | 590 Springridge Rd, Clinton, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427018613 | NPI | - | NPPES |
| 08723392 | Medicaid | MS | |
| 9014277 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9801288 (Mississippi) | Primary |
| Entity Name | Region Vi Community Mental Health Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154433233 PECOS PAC ID: 0749183663 Enrollment ID: O20040129000045 |
| Entity Name | Northeast Mental Health-mental Retardation Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548413628 PECOS PAC ID: 5193611747 Enrollment ID: O20040223000473 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Entity Name | Warren Yazoo Mental Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023002920 PECOS PAC ID: 2365418167 Enrollment ID: O20040902001140 |
| Entity Name | Maxie Gordon Md & Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114105665 PECOS PAC ID: 1658442843 Enrollment ID: O20080616000407 |
| Entity Name | Claiborne County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710238324 PECOS PAC ID: 0244394385 Enrollment ID: O20100809000770 |
| Entity Name | Hinds County Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205853652 PECOS PAC ID: 0547265522 Enrollment ID: O20110831000342 |
| Entity Name | Sincere Home Care Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740697275 PECOS PAC ID: 2769709666 Enrollment ID: O20150401002137 |
| Entity Name | Tamar Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407267578 PECOS PAC ID: 7810291499 Enrollment ID: O20160202000296 |
| Entity Name | Forefront Telecare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174035612 PECOS PAC ID: 9638319114 Enrollment ID: O20190612002030 |
| Entity Name | Hamiltondavis Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255977419 PECOS PAC ID: 2466880117 Enrollment ID: O20200312000874 |
| Entity Name | Chandler Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003447657 PECOS PAC ID: 5294133377 Enrollment ID: O20230224002471 |
| Entity Name | Four Corners Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790477636 PECOS PAC ID: 7012375132 Enrollment ID: O20230622001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maxie Lerone Gordon, MD 590 Springridge Rd, Clinton, MS 39056-5606 Ph: (601) 488-8101 | Dr Maxie Lerone Gordon, MD 590 Springridge Rd, Clinton, MS 39056-5606 Ph: (601) 488-8101 |
Dr. Mary Wheatley, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 107 Park Pl, Clinton, MS 39056 Phone: 601-260-7937 |