Daryl J Gordon, CRNP - Medicare Nurse Practitioner in Jim Thorpe, PA

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Daryl J Gordon, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Jim Thorpe, Pennsylvania. He graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Lukes Physician Group Inc and 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.

Contact Information

Daryl J Gordon, CRNP
1122 North St,
Jim Thorpe, PA 18229-1717
(484) 526-6545
Not Available

Map and Direction




Provider's Profile

Full NameDaryl J Gordon
GenderMale
SpecialityNurse Practitioner
Experience17 Years
Location1122 North St, Jim Thorpe, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daryl J Gordon graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1275863839
  • Provider Enumeration Date: 01/05/2010
  • Last Update Date: 09/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456495217
  • Enrollment ID: I20100217000122

Medical Identifiers

Medical identifiers for Daryl J Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275863839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP010668 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family SP010668 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Miners Memorial HospitalCoaldale, PAHospital
St Luke's Hospital - Carbon CampusLehighton, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Physician Group Inc67097983332161

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. Daryl J Gordon allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

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 AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Jim Thorpe, PA

Eileen P Connors, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1122 North St, Jim Thorpe, PA 18229
Phone: 272-639-5450    Fax: 272-639-5451

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.