Daryl J Gordon, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Jim Thorpe, Pennsylvania. His current practice location is
1122 North St, Jim Thorpe, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 526-6545.
Daryl J Gordon is licensed to practice in Pennsylvania (license number SP010668) 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 1275863839.
Provider's Profile
| Full Name | Daryl J Gordon |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1122 North St, Jim Thorpe, Pennsylvania |
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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:
- Daryl J Gordon attended and graduated from in
NPI Data:
- NPI Number: 1275863839
- Provider Enumeration Date: 01/05/2010
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Daryl J Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275863839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | SP010668 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP010668 (Pennsylvania) | 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. Daryl J 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 |
|---|
Daryl J Gordon, CRNP
1122 North St,
Jim Thorpe, PA 18229-1717
Ph: (484) 526-6545 | Daryl J Gordon, CRNP
1122 North St,
Jim Thorpe, PA 18229-1717
Ph: (484) 526-6545 |
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