Dr Maxie Lerone Gordon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Clinton, Mississippi. He went to Meharry Medical College School Of Medicine and graduated in 1995 and has 31 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Warren Yazoo Mental Health Service, Tamar Group Llc, Maxie Gordon Md And Associates, Pllc and his current practice location is
590 Springridge Rd, Clinton, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 488-8101.
Dr Maxie Lerone Gordon is licensed to practice in Mississippi (license number 9801288) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427018613.
Physician's Profile
| Full Name | Dr Maxie Lerone Gordon |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 31 Years |
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| Location | 590 Springridge Rd, Clinton, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Maxie Lerone Gordon attended and graduated from Meharry Medical College School Of Medicine in 1995
NPI Data:
- NPI Number: 1427018613
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466406798
- Enrollment ID: I20230403001332
Medical Identifiers
Medical identifiers for Dr Maxie Lerone Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427018613 | NPI | - | NPPES |
| 08723392 | Medicaid | MS | |
| 9014277 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9801288 (Mississippi) | Primary |
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. Dr Maxie Lerone 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 |
|---|
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 |
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