| Mr Jonathan Gordon, NP-C | |
|
1419 Grande Mesa Dr, Georgetown, TX 78626-7079 | |
| (512) 589-4599 | |
| Not Available |
| Full Name | Mr Jonathan Gordon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1419 Grande Mesa Dr, Georgetown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538647698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 841626 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP138312 (Texas) | Primary |
| Entity Name | Longhorn Emergency Medical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Entity Name | Emergency Associates of Central Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215418280 PECOS PAC ID: 6800147216 Enrollment ID: O20180925001294 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Gordon, NP-C 1419 Grande Mesa Dr, Georgetown, TX 78626-7079 Ph: (512) 589-4599 | Mr Jonathan Gordon, NP-C 1419 Grande Mesa Dr, Georgetown, TX 78626-7079 Ph: (512) 589-4599 |
Pamela Palmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 Rivery Blvd, Georgetown, TX 78628 Phone: 512-509-9550 |
Michelle Howard, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3316 Williams Dr Ste 150, Georgetown, TX 78628 Phone: 512-244-4272 Fax: 512-244-2895 |
Charlotte A Barr, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 359 Village Commons Blvd, Georgetown, TX 78633 Phone: 512-819-9500 |
Modesta Obiageli Onyia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E University Ave, Suite 157, Georgetown, TX 78626 Phone: 512-868-9078 Fax: 512-819-0646 |
Mayajoy Thode, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3626 Williams Dr Ste 100, Georgetown, TX 78628 Phone: 512-643-0659 |
Alexandra Knudson Bleasdell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 359 Village Commons Blvd, Georgetown, TX 78633 Phone: 512-819-9500 |
Katie Lauryn Lewis, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1502 Blue Ridge Dr Ste 201, Georgetown, TX 78626 Phone: 800-215-3219 Fax: 346-245-8026 |