Mr Stanley Richard Gordon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Brewton, Alabama. He graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Clinical Colleagues Ks Pa and his current practice location is
1301 Belleville Ave, Brewton, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 867-8061.
Mr Stanley Richard Gordon is licensed to practice in Alabama (license number 051211) 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 1548295322.
Provider's Profile
| Full Name | Mr Stanley Richard Gordon |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 27 Years |
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| Location | 1301 Belleville Ave, Brewton, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Stanley Richard Gordon graduated from nursing school in 1999
NPI Data:
- NPI Number: 1548295322
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981694551
- Enrollment ID: I20230621002905
Medical Identifiers
Medical identifiers for Mr Stanley Richard Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548295322 | NPI | - | NPPES |
| 0124687 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 051211 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clinical Colleagues Ks Pa | 3870921984 | 25 |
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 Stanley Richard Gordon allows following entities to bill medicare on his behalf.
| Entity Name | Clinical Colleagues Ks Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548813967
PECOS PAC ID: 3870921984
Enrollment ID: O20200323002520 |
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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 Stanley Richard 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 |
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Mr Stanley Richard Gordon, CRNA
5577 Gibson Rd,
Theodore, AL 36582-4058
Ph: () - | Mr Stanley Richard Gordon, CRNA
1301 Belleville Ave,
Brewton, AL 36426-1306
Ph: (251) 867-8061 |
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