Mrs Shan C Gordon, ARNP - Medicare Nurse Practitioner in Barlow, KY

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Mrs Shan C Gordon, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Barlow, Kentucky. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pineville Community Health Center Inc, Ultra Health Llc and her current practice location is 120 N 4th St, Barlow, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 334-3131.

Mrs Shan C Gordon is licensed to practice in Kentucky (license number 4007490) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427455831.

Contact Information

Mrs Shan C Gordon, ARNP
120 N 4th St,
Barlow, KY 42024-9579
(270) 334-3131
(270) 334-3173

Map and Direction




Provider's Profile

Full NameMrs Shan C Gordon
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location120 N 4th St, Barlow, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shan C Gordon graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1427455831
  • Provider Enumeration Date: 12/01/2014
  • Last Update Date: 12/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830553403
  • Enrollment ID: I20230914003192

Medical Identifiers

Medical identifiers for Mrs Shan C Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427455831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4007490 (Kentucky)Primary
363L00000XNurse Practitioner 4007490 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health PaducahPaducah, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pineville Community Health Center Inc569800915726
Ultra Health Llc6800186602113

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. Mrs Shan C Gordon allows following entities to bill medicare on her behalf.
Entity NamePinelake Physician Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295960532
PECOS PAC ID: 6800797507
Enrollment ID: O20040115001094
Entity NameUltra Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20181109001113

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. Mrs Shan C 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
Mrs Shan C Gordon, ARNP
Po Box 497,
Augusta, AR 72006-0497

Ph: (270) 334-3131		Mrs Shan C Gordon, ARNP
120 N 4th St,
Barlow, KY 42024-9579

Ph: (270) 334-3131

Reviews and Comments


Nurse Practitioner Nurses in Barlow, KY

Elisha Hall, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 N 4th St, Barlow, KY 42024
Phone: 270-334-3131    
Nicole Ann Lazarevic, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 N 4th St, Barlow, KY 42024
Phone: 270-334-3131    
Paula Melton, A.R.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 N 4th St, Barlow, KY 42024
Phone: 270-334-3131    Fax: 270-334-3173
Taylor N Modglin, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 N 4th St, Barlow, KY 42024
Phone: 270-334-3131    Fax: 270-334-3173

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.