Courtney Rae Gordon, NP in Ridgeland, MS - Medicare Nurse Practitioner

Courtney Rae Gordon, NP is a medicare enrolled "Nurse Practitioner" in Ridgeland, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pioneer Health Care , Llc, Prime Care Clinic Of Clinton Llc and her current practice location is 410 Orchard Park, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 281-0456.

Courtney Rae Gordon is licensed to practice in Mississippi (license number 903982) 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 1891312948.

Contact Information

	Courtney Rae Gordon, NP
	410 Orchard Park, Ridgeland, MS 39157-5135
	(601) 281-0456
	Not Available

Map and Direction

Provider's Profile

Full Name	Courtney Rae Gordon
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	410 Orchard Park, Ridgeland, Mississippi
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:

Courtney Rae Gordon graduated from nursing school in 2020

NPI Data:

NPI Number: 1891312948
Provider Enumeration Date: 07/05/2020
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5698199479
Enrollment ID: I20200727002195

Medical Identifiers

Medical identifiers for Courtney Rae Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891312948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	903982 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sta Home Health And Hospice	Clinton, MS	Home health agency
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pioneer Health Care , Llc	4789740044	16
Prime Care Clinic Of Clinton Llc	6709270572	2

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. Courtney Rae Gordon allows following entities to bill medicare on her behalf.

Entity Name	Pioneer Health Care , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336384742 PECOS PAC ID: 4789740044 Enrollment ID: O20090311000659

Entity Name	Trustcare Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427338235 PECOS PAC ID: 0547427858 Enrollment ID: O20120127000834

Entity Name	Prime Care Clinic Of Clinton Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790444263 PECOS PAC ID: 6709270572 Enrollment ID: O20220222001467

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. Courtney Rae 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
Courtney Rae Gordon, NP 410 Orchard Park, Ridgeland, MS 39157-5135 Ph: (601) 281-0456	Courtney Rae Gordon, NP 410 Orchard Park, Ridgeland, MS 39157-5135 Ph: (601) 281-0456

Reviews and Comments

Nurse Practitioner Nurses in Ridgeland, MS

Ebonique Martin Buckner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482
Mrs. Ana Evelia Recinos, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157 Phone: 601-707-3737
Kenneth Kaiser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687
Dr. Amanda B Greene, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157 Phone: 601-499-0282 Fax: 601-499-0347
Mrs. Michelle Hughes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482
Mary Margaret Endris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Highland Colony Pkwy, Ridgeland, MS 39157 Phone: 601-341-6535
Mary Brett Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157 Phone: 855-498-6767 Fax: 479-968-1673

Courtney Rae Gordon, NP - Medicare Nurse Practitioner in Ridgeland, MS