Gina Gordenier, in Mishawaka, IN - Medicare Nurse Practitioner

Gina Gordenier, is a medicare enrolled "Nurse Practitioner - Acute Care" in Mishawaka, Indiana. Her current practice location is 515 Park Place Cir Ste 200, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 607-4724.

Gina Gordenier is licensed to practice in Indiana (license number 71015969A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659193928.

Contact Information

	Gina Gordenier,
	515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585
	(574) 607-4724
	(574) 607-4725

Map and Direction

Provider's Profile

Full Name	Gina Gordenier
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	515 Park Place Cir Ste 200, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659193928
Provider Enumeration Date: 10/29/2024
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 1052848876
Enrollment ID: I20241218001214

Medical Identifiers

Medical identifiers for Gina Gordenier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659193928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	71015969A (Indiana)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	71015969A (Indiana)	Primary

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. Gina Gordenier allows following entities to bill medicare on her behalf.

Entity Name	Kidney Care Of Michiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093067530 PECOS PAC ID: 7810149309 Enrollment ID: O20121207000347

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. Gina Gordenier 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
Gina Gordenier, 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 Ph: (574) 607-4724	Gina Gordenier, 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 Ph: (574) 607-4724

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Gina Gordenier, - Medicare Nurse Practitioner in Mishawaka, IN