Carolyn Jackman Gordon, CRNP, PMHNP-BC - Medicare Nurse Practitioner in Lumberton, NC

Carolyn Jackman Gordon, CRNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lumberton, North Carolina. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mem Scepter Home And Behavioral and her current practice location is 401 W 27th St, Lumberton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 370-0434.

Carolyn Jackman Gordon is licensed to practice in North Carolina (license number 5022591) 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 1710711262.

Contact Information

Carolyn Jackman Gordon, CRNP, PMHNP-BC
401 W 27th St,
Lumberton, NC 28358-3019
(910) 370-0434
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Jackman Gordon
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location401 W 27th St, Lumberton, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carolyn Jackman Gordon graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1710711262
  • Provider Enumeration Date: 08/28/2024
  • Last Update Date: 11/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0547797706
  • Enrollment ID: I20241230001258

Medical Identifiers

Medical identifiers for Carolyn Jackman Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710711262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AC006921 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5022591 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mem Scepter Home And Behavioral13557537654

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. Carolyn Jackman Gordon allows following entities to bill medicare on her behalf.
Entity NameMem Scepter Home & Behavioral
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407462559
PECOS PAC ID: 1355753765
Enrollment ID: O20201209000068

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. Carolyn Jackman 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 AddressPractice Location Address
Carolyn Jackman Gordon, CRNP, PMHNP-BC
34 Shining Willow Way # 239,
La Plata, MD 20646-4224

Ph: (304) 542-6475
Carolyn Jackman Gordon, CRNP, PMHNP-BC
401 W 27th St,
Lumberton, NC 28358-3019

Ph: (910) 370-0434

Reviews and Comments


Nurse Practitioner Nurses in Lumberton, NC

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Lauren Izzell,
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Practice Location: 300 W 27th St, Lumberton, NC 28358
Phone: 910-671-5000    
Marshil Bullard Locklear, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 4303 Ludgate St, Lumberton, NC 28358
Phone: 910-338-4593    Fax: 910-202-4973

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.