Mary Burkhart Gordon, ARNP in Edmond, OK - Medicare Nurse Practitioner

Mary Burkhart Gordon, ARNP is a medicare enrolled "Nurse Practitioner" in Edmond, Oklahoma. Her current practice location is 1701 Renaissance Blvd, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 844-4978.

Mary Burkhart Gordon is licensed to practice in Arizona (license number AP4675) 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 1821169590.

Contact Information

	Mary Burkhart Gordon, ARNP
	1701 Renaissance Blvd, Edmond, OK 73013-3086
	(405) 844-4978
	(405) 844-0562

Map and Direction

Provider's Profile

Full Name	Mary Burkhart Gordon
Gender	Female
Speciality	Nurse Practitioner
Location	1701 Renaissance Blvd, Edmond, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821169590
Provider Enumeration Date: 11/13/2006
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0547260317
Enrollment ID: I20220913003444

Medical Identifiers

Medical identifiers for Mary Burkhart Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821169590	NPI	-	NPPES
6544	Other		PHS PROVIDER NUMBER
P01137754	Other	AZ	RAILROAD MEDICARE
002828500	Medicaid	FL
10001631801	Other		CHP PROVIDER NUMBER
427250709	Medicaid	MO
500028442	Other		RR MEDICARE
511800	Other		FIRSTGUARD
481202402	Other		PSKU TAX ID
757385	Medicaid	AZ
100446630A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	45190 (Kansas)	Secondary
363L00000X	Nurse Practitioner	207906 (Oklahoma)	Secondary
363L00000X	Nurse Practitioner	95000713 (California)	Secondary
363L00000X	Nurse Practitioner	AP4675 (Arizona)	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. Mary Burkhart Gordon allows following entities to bill medicare on her behalf.

Entity Name	Oklahoma Arthritis Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528036019 PECOS PAC ID: 0446239743 Enrollment ID: O20040720000063

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. Mary Burkhart 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
Mary Burkhart Gordon, ARNP 1701 Renaissance Blvd, Edmond, OK 73013-3086 Ph: (405) 844-4978	Mary Burkhart Gordon, ARNP 1701 Renaissance Blvd, Edmond, OK 73013-3086 Ph: (405) 844-4978

Reviews and Comments

Nurse Practitioner Nurses in Edmond, OK

Michelle Kathleen Merrell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 S. Blvd,, Edmond, OK 73013 Phone: 405-905-9888
Catherine Marie Kindt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2177 Venezia Cir, Edmond, OK 73034 Phone: 580-695-1605
Karyl S. Knopps, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2820 N Kelly Ave, Ste 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101
Lisa Louise Spence, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184
Elizabeth Stanfield Carradini, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Bryant Ave, Edmond, OK 73013 Phone: 405-348-7982
Kelli Rebecca Lawrence, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034 Phone: 405-832-6881 Fax: 833-941-1685
Dr. Magdalyn Boegler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7225 Skipping Stone Dr, Edmond, OK 73034 Phone: 405-887-3556

Mary Burkhart Gordon, ARNP - Medicare Nurse Practitioner in Edmond, OK