Mr Mark Gordon, in Lauderhill, FL - Medicare Nurse Practitioner

Mr Mark Gordon, is a medicare enrolled "Nurse Practitioner - Family" in Lauderhill, Florida. His current practice location is 4300 N University Dr Ste A106, Lauderhill, Florida. You can reach out to his office (for appointments etc.) via phone at (786) 273-0728.

Mr Mark Gordon is licensed to practice in Florida (license number 11017993) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497183404.

Contact Information

	Mr Mark Gordon,
	4300 N University Dr Ste A106, Lauderhill, FL 33351-6243
	(786) 273-0728
	(954) 639-7433

Map and Direction

Provider's Profile

Full Name	Mr Mark Gordon
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4300 N University Dr Ste A106, Lauderhill, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497183404
Provider Enumeration Date: 10/30/2013
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 4880050228
Enrollment ID: I20230510000827

Medical Identifiers

Medical identifiers for Mr Mark Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497183404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	11017993 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	11017993 (Florida)	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. Mr Mark Gordon allows following entities to bill medicare on his behalf.

Entity Name	Prestige Clinicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497213755 PECOS PAC ID: 9234549841 Enrollment ID: O20201111000879

Entity Name	Samdazie Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396493201 PECOS PAC ID: 7113314295 Enrollment ID: O20220419001840

Entity Name	Harmonious Minds Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487361796 PECOS PAC ID: 1557706322 Enrollment ID: O20240302000302

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. Mr Mark 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
Mr Mark Gordon, 4300 N University Dr Ste A106, Lauderhill, FL 33351-6243 Ph: (786) 273-0728	Mr Mark Gordon, 4300 N University Dr Ste A106, Lauderhill, FL 33351-6243 Ph: (786) 273-0728

Reviews and Comments

Nurse Practitioner Nurses in Lauderhill, FL

Camila Pertierra Delgado, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8350 Nw 47th St, Lauderhill, FL 33351 Phone: 786-281-5893
Sirahaydee Pena-alcantara, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4486 N University Dr, Lauderhill, FL 33351 Phone: 954-710-8767
Jonelle Moricia Rivas-gibson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N State Road 7 Ste 200, Lauderhill, FL 33313 Phone: 954-900-9804
Sophia Andrea Johnson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7151 Nw 46th Ct, Lauderhill, FL 33319 Phone: 954-804-9320
Alina Poll, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 Nw 40th Ave Unit 2, Lauderhill, FL 33313 Phone: 954-615-0900
Afsheen Qazi, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 W Commercial Blvd, Lauderhill, FL 33319 Phone: 954-644-8800 Fax: 954-824-1901
Mr. Leonel Antoine Jeune, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1148 Nw 45th Ter, Lauderhill, FL 33313 Phone: 224-425-2493

Mr Mark Gordon, - Medicare Nurse Practitioner in Lauderhill, FL