Dr Timothy David Gordon, PHD in Hillsborough, NC - Medicare Clinical Psychologist Provider

Dr Timothy David Gordon, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hillsborough, North Carolina. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Optum Behavioral Care Of North Carolina Pc and his current practice location is Po Box 563, Hillsborough, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 699-1183.

Dr Timothy David Gordon is licensed to practice in North Carolina (license number 4784) 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 1083920474.

Contact Information

	Dr Timothy David Gordon, PHD
	Po Box 563, Hillsborough, NC 27278-0563
	(919) 699-1183
	(919) 944-4325

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy David Gordon
Gender	Male
Speciality	Clinical Psychologist
Experience	16 Years
Location	Po Box 563, Hillsborough, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy David Gordon graduated from medical school in 2010

NPI Data:

NPI Number: 1083920474
Provider Enumeration Date: 08/24/2010
Last Update Date: 07/06/2026

Medicare PECOS Information:

PECOS PAC ID: 2466766035
Enrollment ID: I20150728003796

Medical Identifiers

Medical identifiers for Dr Timothy David Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083920474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4784 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Behavioral Care Of North Carolina Pc	5092120030	178

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. Dr Timothy David Gordon allows following entities to bill medicare on his behalf.

Entity Name	Carolina Behavioral Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487709861 PECOS PAC ID: 1052387982 Enrollment ID: O20050309000465

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. Dr Timothy David 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
Dr Timothy David Gordon, PHD 1306 Professor Pl, Durham, NC 27713-5909 Ph: (919) 646-2811	Dr Timothy David Gordon, PHD Po Box 563, Hillsborough, NC 27278-0563 Ph: (919) 699-1183

Reviews and Comments

Psychologist in Hillsborough, NC

Dana Siegel Breedlove, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 960 Corporate Dr Ste 201, Hillsborough, NC 27278 Phone: 919-568-3131
Dr. Susan June Leete, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3100 Silas Ln, Hillsborough, NC 27278 Phone: 919-815-4444
Kimberly Lowery Miller, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Garden Heights Ln, Hillsborough, NC 27278 Phone: 919-818-3207 Fax: 919-245-8885
Dr. Joseph Eugene Talley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 134 East Tryon St, Hillsborough, NC 27278 Phone: 919-660-1000
Dr. Rachel Anne Bowman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 960 Corporate Dr. Ste 111, Dogwood Psychology Center For Children & Families, Pllc, Hillsborough, NC 27278 Phone: 919-945-4567
Shawn Zeplin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 142 W Hatterleigh Ave, Hillsborough, NC 27278 Phone: 512-497-6778

Dr Timothy David Gordon, PHD - Medicare Psychologist in Hillsborough, NC