Amanda Gordon, PHD - Medicare Psychologist in Pace, FL

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Amanda Gordon, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Pace, Florida. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Fraser Child And Family Center and her current practice location is 4501 Woodbine Rd, Pace, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 994-1205.

Amanda Gordon is licensed to practice in Florida (license number PY13342) 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 1831074186.

Contact Information

Amanda Gordon, PHD
4501 Woodbine Rd,
Pace, FL 32571-8706
(850) 994-1205
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Gordon
GenderFemale
SpecialityClinical Psychologist
Experience2 Years
Location4501 Woodbine Rd, Pace, Florida
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:
  • Amanda Gordon graduated from medical school in 2024
  NPI Data:
  • NPI Number: 1831074186
  • Provider Enumeration Date: 08/06/2025
  • Last Update Date: 09/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4880186097
  • Enrollment ID: I20251125002276

Medical Identifiers

Medical identifiers for Amanda Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831074186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent LP7283 (Minnesota)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PY13342 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fraser Child And Family Center397191877254

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. Amanda Gordon allows following entities to bill medicare on her behalf.
Entity NameFraser Child and Family Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609922194
PECOS PAC ID: 3971918772
Enrollment ID: O20210208002399

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. Amanda 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 AddressPractice Location Address
Amanda Gordon, PHD
4501 Woodbine Rd,
Pace, FL 32571-8706

Ph: (850) 994-1205		Amanda Gordon, PHD
4501 Woodbine Rd,
Pace, FL 32571-8706

Ph: (850) 994-1205

Reviews and Comments


Psychologist in Pace, FL

Mrs. Heidi C Donovan, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5632 Whispering Woods Dr, Pace, FL 32571
Phone: 850-995-8018    Fax: 850-492-7667
Leisa Dianne Ludlam, PH.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 4509 Woodbine Rd, Pace, FL 32571
Phone: 850-995-2500    Fax: 850-995-2501
Keziah Celina Bueno,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4009 Deerwood Cir, Pace, FL 32571
Phone: 448-201-2604    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.