Clifford I Gordon, EDD is a medicare enrolled "Psychologist" provider in Pascoag, Rhode Island. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Northwest Community Health Care and his current practice location is
36 Bridge Way, Pascoag, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 568-7661.
Clifford I Gordon is licensed to practice in Rhode Island (license number PS00331) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942306675.
Healthcare Provider's Profile
| Full Name | Clifford I Gordon |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 41 Years |
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| Location | 36 Bridge Way, Pascoag, Rhode Island |
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| Accepts Medicare Assignments | Yes. He 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:
- Clifford I Gordon graduated from medical school in 1983
NPI Data:
- NPI Number: 1942306675
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 04/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 8729039987
- Enrollment ID: I20050204000110
Medical Identifiers
Medical identifiers for Clifford I Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942306675 | NPI | - | NPPES |
| 193805 | Other | RI | HARVARD PILGRIM |
| 7057168 | Medicaid | RI | |
| 00-5303 | Other | RI | BCHIP |
| 0716 | Other | RI | NEIGHBORHOOD |
| 411814 | Other | RI | MEDICARE GROUP |
| 61-00445 | Other | RI | UNITED HEALTH |
| 304940 | Other | RI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS00331 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northwest Community Health Care | 1355250663 | 34 |
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. Clifford I Gordon allows following entities to bill medicare on his behalf.
| Entity Name | Northwest Community Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801951397
PECOS PAC ID: 1355250663
Enrollment ID: O20050308000422 |
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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. Clifford I 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 |
|---|
Clifford I Gordon, EDD
18 Old Chimney Rd,
Barrington, RI 02806-3243
Ph: (401) 247-2798 | Clifford I Gordon, EDD
36 Bridge Way,
Pascoag, RI 02859-3131
Ph: (401) 568-7661 |
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