Tiffany Dawn Gordon, NP is a medicare enrolled "Nurse Practitioner - Family" in Le Sueur, Minnesota. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ridgeview Medical Center and her current practice location is
625 S 4th St Ste A, Le Sueur, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 593-5920.
Tiffany Dawn Gordon is licensed to practice in Minnesota (license number 9339) 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 1992424675.
Provider's Profile
| Full Name | Tiffany Dawn Gordon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 625 S 4th St Ste A, Le Sueur, Minnesota |
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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:
- Tiffany Dawn Gordon graduated from nursing school in 2022
NPI Data:
- NPI Number: 1992424675
- Provider Enumeration Date: 08/25/2022
- Last Update Date: 08/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395114201
- Enrollment ID: I20221216000476
Medical Identifiers
Medical identifiers for Tiffany Dawn Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992424675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 9339 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ridgeview Medical Center | 9234041997 | 408 |
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. Tiffany Dawn Gordon allows following entities to bill medicare on her behalf.
| Entity Name | Minnesota Valley Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730248907
PECOS PAC ID: 9032006507
Enrollment ID: O20040301000309 |
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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. Tiffany Dawn 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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Tiffany Dawn Gordon, NP
258 Arabian Ave E,
Shakopee, MN 55379-4701
Ph: (952) 564-8067 | Tiffany Dawn Gordon, NP
625 S 4th St Ste A,
Le Sueur, MN 56058-2203
Ph: (507) 593-5920 |
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