Kimberly Renee Gordon, PA-C in Waxhaw, NC - Medicare Physician Assistant

Kimberly Renee Gordon, PA-C is a medicare enrolled "Physician Assistant" in Waxhaw, North Carolina. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Novant Medical Group Inc and her current practice location is 9929 Rea Rd Ste 201, Waxhaw, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-1650.

Kimberly Renee Gordon is licensed to practice in North Carolina (license number 0010-07737) 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 1346562147.

Contact Information

	Kimberly Renee Gordon, PA-C
	9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439
	(704) 316-1650
	(704) 316-1651

Map and Direction

Provider's Profile

Full Name	Kimberly Renee Gordon
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	9929 Rea Rd Ste 201, Waxhaw, North Carolina
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:

Kimberly Renee Gordon graduated from nursing school in 2007

NPI Data:

NPI Number: 1346562147
Provider Enumeration Date: 02/20/2010
Last Update Date: 03/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2466615612
Enrollment ID: I20180718003217

Medical Identifiers

Medical identifiers for Kimberly Renee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346562147	NPI	-	NPPES
018579700	Medicaid	FL
Y0S1D	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA9105103 (Florida)	Secondary
363A00000X	Physician Assistant	0010-07737 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	1996

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. Kimberly Renee 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
Kimberly Renee Gordon, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Kimberly Renee Gordon, PA-C 9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439 Ph: (704) 316-1650

Reviews and Comments

Physician Assistant Nurses in Waxhaw, NC

Lea Maria Holevas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10033 Strike The Gold Ln, Waxhaw, NC 28173 Phone: 704-989-4760
Nikki Torres, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1029 Brunswick Way, Waxhaw, NC 28173 Phone: 704-840-9793
Derek Whalen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 Providence Rd S Ste 370, Waxhaw, NC 28173 Phone: 704-520-7089 Fax: 704-520-7099
Mr. Andrew Kirby Gustavson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650
Brian John Devlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1530 Providence Rd S, Waxhaw, NC 28173 Phone: 704-627-8365 Fax: 704-627-8366
Jennifer Lynn Gonzales, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2700 Providence Rd S, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254

Kimberly Renee Gordon, PA-C - Medicare Physician Assistant in Waxhaw, NC