Rylie Gordon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Whiteville, Tennessee. His current practice location is
2400 Us Highway 64, Whiteville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 254-8999.
Rylie Gordon is licensed to practice in Tennessee (license number 38167) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841004298.
Provider's Profile
| Full Name | Rylie Gordon |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2400 Us Highway 64, Whiteville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841004298
- Provider Enumeration Date: 02/05/2025
- Last Update Date: 02/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143749770
- Enrollment ID: I20250527002668
Medical Identifiers
Medical identifiers for Rylie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841004298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 38167 (Tennessee) | Primary |
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. Rylie Gordon allows following entities to bill medicare on his behalf.
| Entity Name | Whiteville Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194551168
PECOS PAC ID: 3971036716
Enrollment ID: O20241031001876 |
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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. Rylie 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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Rylie Gordon, FNP
2400 Us Highway 64,
Whiteville, TN 38075-7461
Ph: (731) 254-8999 | Rylie Gordon, FNP
2400 Us Highway 64,
Whiteville, TN 38075-7461
Ph: (731) 254-8999 |
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