Julie A Gordon-dueck, PHD in Lebanon, PA - Medicare Psychologist Provider

Julie A Gordon-dueck, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Lebanon, Pennsylvania. Her current practice location is 964 Isabel Dr, Lebanon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 274-9777.

Julie A Gordon-dueck is licensed to practice in Pennsylvania (license number PS007868L) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053514737.

Contact Information

	Julie A Gordon-dueck, PHD
	964 Isabel Dr, Lebanon, PA 17042-7482
	(717) 274-9777
	(717) 274-9815

Map and Direction

Healthcare Provider's Profile

Full Name	Julie A Gordon-dueck
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	964 Isabel Dr, Lebanon, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053514737
Provider Enumeration Date: 06/08/2007
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3678627668
Enrollment ID: I20090812000190

Medical Identifiers

Medical identifiers for Julie A Gordon-dueck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053514737	NPI	-	NPPES
103352242	Medicaid	PA
PS007868L	Other	PA	STATE LICENSE
11824245	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS007868L (Pennsylvania)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	PS007868L (Pennsylvania)	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. Julie A Gordon-dueck allows following entities to bill medicare on her behalf.

Entity Name	Philhaven
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103

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. Julie A Gordon-dueck 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
Julie A Gordon-dueck, PHD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405	Julie A Gordon-dueck, PHD 964 Isabel Dr, Lebanon, PA 17042-7482 Ph: (717) 274-9777

Reviews and Comments

Psychologist in Lebanon, PA

Peter J Garito, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Norway Ln, Lebanon, PA 17042 Phone: 717-926-0775
Wayne Lawrence Roffer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621
Dr. Daniel David Lloyd, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621
Dr. Bryan Gottlieb, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 964 Isabel Dr, Lebanon, PA 17042 Phone: 717-274-9777 Fax: 717-274-9815
Melanie A Baer, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452
Dr. Kerri Marie Garruba, PSY.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621

Julie A Gordon-dueck, PHD - Medicare Psychologist in Lebanon, PA