Mr Justin E Gordon, DPT in Wake Forest, NC - Medicare Physical Therapist Provider

Mr Justin E Gordon, DPT is a medicare enrolled "Physical Therapist" provider in Wake Forest, North Carolina. His current practice location is 3150 Rogers Rd Ste 216, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 229-8363.

Mr Justin E Gordon is licensed to practice in North Carolina (license number P17533) 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 1205162674.

Contact Information

	Mr Justin E Gordon, DPT
	3150 Rogers Rd Ste 216, Wake Forest, NC 27587-7068
	(919) 229-8363
	(919) 229-8356

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Justin E Gordon
Gender	Male
Speciality	Physical Therapist
Location	3150 Rogers Rd Ste 216, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205162674
Provider Enumeration Date: 10/20/2009
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2062684970
Enrollment ID: I20231030003405

Medical Identifiers

Medical identifiers for Mr Justin E Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205162674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT25049 (Florida)	Secondary
225100000X	Physical Therapist	P17533 (North Carolina)	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. Mr Justin E Gordon allows following entities to bill medicare on his behalf.

Provider Name	Breakthrough Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558598532 PECOS PAC ID: 9234274754 Enrollment ID: O20100308000584

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. Mr Justin E 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
Mr Justin E Gordon, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (502) 882-9379	Mr Justin E Gordon, DPT 3150 Rogers Rd Ste 216, Wake Forest, NC 27587-7068 Ph: (919) 229-8363

Reviews and Comments

Physical Therapist in Wake Forest, NC

Leigh Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Ms. Morgan Elizabeth Young, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10560 Ligon Mill Rd # 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Orthopedic Physical Therapy Associates, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 10560 Ligon Mill Rd, Suite 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Michael Holt Mcpherson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Christopher John Walters, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 843 Wake Forest Business Park, Suite 110, Wake Forest, NC 27587 Phone: 919-570-7080 Fax: 919-570-7081
Jenna Poorman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10560 Ligon Mill Rd, Suite 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Kristin Marie Somerville, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2824 Rogers Rd Ste 102, Wake Forest, NC 27587 Phone: 919-229-8363 Fax: 919-229-8356

Mr Justin E Gordon, DPT - Medicare Physical Therapist in Wake Forest, NC