Ms Leann D Gordon, CMM, NP is a medicare enrolled "Advanced Practice Midwife" in Pulaski, Tennessee. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Amg-hillside Llc and her current practice location is
1275 E College St Ste 1, Pulaski, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 292-6644.
Ms Leann D Gordon is licensed to practice in Tennessee (license number APN13271) 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 1801068010.
Provider's Profile
| Full Name | Ms Leann D Gordon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 1275 E College St Ste 1, Pulaski, Tennessee |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Leann D Gordon graduated from nursing school in 2007
NPI Data:
- NPI Number: 1801068010
- Provider Enumeration Date: 03/27/2008
- Last Update Date: 11/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436305539
- Enrollment ID: I20120806000323
Medical Identifiers
Medical identifiers for Ms Leann D Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801068010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN13271 (Tennessee) | Secondary |
| 367A00000X | Advanced Practice Midwife | APN13271 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Amg-hillside Llc | 9436240017 | 20 |
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. Ms Leann D Gordon allows following entities to bill medicare on her behalf.
| Entity Name | Amg-crockett, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326550732
PECOS PAC ID: 4789770199
Enrollment ID: O20071017000313 |
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| Entity Name | Vanderbilt University Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104202761
PECOS PAC ID: 5092023416
Enrollment ID: O20151006000369 |
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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. Ms Leann D 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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Ms Leann D Gordon, CMM, NP
1275 E College St Ste 1,
Pulaski, TN 38478-4545
Ph: (931) 292-6644 | Ms Leann D Gordon, CMM, NP
1275 E College St Ste 1,
Pulaski, TN 38478-4545
Ph: (931) 292-6644 |
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