Ms Roberta Gordin, RN, PMHNP-BC - Medicare Nurse Practitioner in San Rafael, CA

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Ms Roberta Gordin, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Rafael, California. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mood Clinical, P. C., Clarity-james Medical Services Corp, Achievements Unlimited Clinical Psychology Services, Inc. and her current practice location is 4040 Civic Center Dr, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 795-8050.

Ms Roberta Gordin is licensed to practice in California (license number 95016248) 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 1518458793.

Contact Information

Ms Roberta Gordin, RN, PMHNP-BC
4040 Civic Center Dr,
San Rafael, CA 94903-4150
(415) 795-8050
Not Available

Map and Direction




Provider's Profile

Full NameMs Roberta Gordin
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location4040 Civic Center Dr, San Rafael, California
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:
  • Ms Roberta Gordin graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1518458793
  • Provider Enumeration Date: 05/23/2018
  • Last Update Date: 02/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4587056866
  • Enrollment ID: I20220118002247

Medical Identifiers

Medical identifiers for Ms Roberta Gordin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518458793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95016248 (California)Primary
163WP0808XRegistered Nurse - Psychiatric/mental Health 649332 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mood Clinical, P. C.4981080769107
Clarity-james Medical Services Corp26688868137
Achievements Unlimited Clinical Psychology Services, Inc.084066257312

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 Roberta Gordin allows following entities to bill medicare on her behalf.
Entity NameMemory Check Psychological Services, a Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021
Entity NameEhab Yacoub MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071
Entity NameA Mind Above a Professional Psychology Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669039327
PECOS PAC ID: 1759717978
Enrollment ID: O20200207000219
Entity NameClarity-james Medical Services Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972192953
PECOS PAC ID: 2668886813
Enrollment ID: O20210128002631
Entity NameMood Clinical, P. C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922675644
PECOS PAC ID: 4981080769
Enrollment ID: O20220930002640
Entity NameAchievements Unlimited Clinical Psychology Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972953875
PECOS PAC ID: 0840662573
Enrollment ID: O20230207000634
Entity NameAmygdala Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386324267
PECOS PAC ID: 3577910421
Enrollment ID: O20231114002865
Entity NameSondermind PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003646977
PECOS PAC ID: 0547795791
Enrollment ID: O20250127000871

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 Roberta Gordin 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
Ms Roberta Gordin, RN, PMHNP-BC
4040 Civic Center Dr,
San Rafael, CA 94903-4150

Ph: (415) 795-8050		Ms Roberta Gordin, RN, PMHNP-BC
4040 Civic Center Dr,
San Rafael, CA 94903-4150

Ph: (415) 795-8050

Reviews and Comments


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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.

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