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

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 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice 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 Name	Mr Odell Delroy Gordon
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	40 Hurley Ave, Kingston, New York
Accepts Medicare Assignments	Yes. 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: I20240215002075

Medical Identifiers

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

Identifier	Type	State	Issuer
1659784809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F338818-1 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ14923500 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trinitas Regional Medical Center	Elizabeth, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rwjbh Observation Associates Llc	5193137503	952

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 Name	Rwjbh Observation Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008

Entity Name	Rwjbh Emergency Medicine Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547

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 Address	Practice 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

Nurse Practitioner Nurses in Kingston, NY

Courtney Gavigan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 396 Broadway, Kingston, NY 12401 Phone: 845-331-3131
Tanya Nerone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Marys Ave, Kingston, NY 12401 Phone: 845-437-5000
Ayse Pere, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Marys Ave, Suite 201, Kingston, NY 12401 Phone: 845-331-8146 Fax: 845-331-3314
Donna Jean Hannigan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Hurley Ave, Kingston, NY 12401 Phone: 845-338-0180 Fax: 845-338-4725
Hans M Boehm, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Mary's Avenue, Kingston, NY 12401 Phone: 845-338-2500 Fax: 845-334-3172
Linda Mainetti, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 144 Pine St Suite 220, Kingston, NY 12401 Phone: 845-331-2977
Michele Debrosky, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Hurley Ave Ste 4, Kingston, NY 12401 Phone: 845-338-5600

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