Mr Odell Delroy Gordon, NP - Medicare Nurse Practitioner in Kingston, NY

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Mr Odell Delroy Gordon, NP is a medicare enrolled "Nurse Practitioner - Family" in Kingston, New York. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice United Medical Associates Pc, Rwjbh Observation Associates Llc and his current practice location is 40 Hurley Ave, Suite 4, Kingston, New York. You can reach out to his office (for appointments etc.) via phone at (845) 338-5600.

Mr Odell Delroy Gordon is licensed to practice in New Jersey (license number 26NJ14923500) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659784809.

Contact Information

Mr Odell Delroy Gordon, NP
40 Hurley Ave, Suite 4,
Kingston, NY 12401-3739
(845) 338-5600
(845) 338-3058

Map and Direction




Provider's Profile

Full NameMr Odell Delroy Gordon
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location40 Hurley Ave, Kingston, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Odell Delroy Gordon graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1659784809
  • Provider Enumeration Date: 06/05/2014
  • Last Update Date: 05/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759603020
  • Enrollment ID: I20141124001508

Medical Identifiers

Medical identifiers for Mr Odell Delroy Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659784809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F338818-1 (New York)Secondary
363LF0000XNurse Practitioner - Family 26NJ14923500 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinitas Regional Medical CenterElizabeth, NJHospital
United Health Services Hospitals, IncBinghamton, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Medical Associates Pc0345144978205
Rwjbh Observation Associates Llc5193137503783

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 Odell Delroy Gordon allows following entities to bill medicare on his behalf.
Entity NameSt James Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013985399
PECOS PAC ID: 0345154480
Enrollment ID: O20031113000649
Entity NameUnited Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013972801
PECOS PAC ID: 0345144978
Enrollment ID: O20031125000020
Entity NameUniversity Emergency Medical Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972540482
PECOS PAC ID: 0749182665
Enrollment ID: O20040122000247
Entity NameDobbs Ferry Emergency Medicine, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457381477
PECOS PAC ID: 8022908268
Enrollment ID: O20040319000362
Entity NameHudson Vista Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164749115
PECOS PAC ID: 7517099872
Enrollment ID: O20100722000067
Entity NameOrange Emergency Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043589682
PECOS PAC ID: 4880853183
Enrollment ID: O20120306000546
Entity NameSullivan Emergency Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528338480
PECOS PAC ID: 7719146927
Enrollment ID: O20120307000760
Entity NameNorth Shore Lij Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20150223000060
Entity NameEllenville Emergency Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477945905
PECOS PAC ID: 9436478658
Enrollment ID: O20150508001689
Entity NameWellnow Urgent Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669825162
PECOS PAC ID: 8325320864
Enrollment ID: O20170118001953

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 Odell Delroy 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 AddressPractice Location Address
Mr Odell Delroy Gordon, NP
40 Hurley Ave, Suite 4,
Kingston, NY 12401-3739

Ph: (845) 338-5600		Mr Odell Delroy Gordon, NP
40 Hurley Ave, Suite 4,
Kingston, NY 12401-3739

Ph: (845) 338-5600

Reviews and Comments


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Donna Jean Hannigan, NP
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Hans M Boehm, NPP
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Linda Mainetti, NPP
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Jan-lauritzen Hoyt, NP
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Phone: 845-338-0050    Fax: 845-331-1996

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.