Shannon Gordy, PSYD - Medicare Psychologist in Dunmore, PA

Shannon Gordy, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dunmore, Pennsylvania. Her current practice location is 502 N Blakely St, Dunmore, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 342-8434.

Shannon Gordy is licensed to practice in Pennsylvania (license number PS019950) 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 1245912278.

Contact Information

Shannon Gordy, PSYD
502 N Blakely St,
Dunmore, PA 18512-1943
(570) 342-8434
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Gordy
GenderFemale
SpecialityPsychologist - Clinical
Location502 N Blakely St, Dunmore, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245912278
  • Provider Enumeration Date: 08/01/2023
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567816085
  • Enrollment ID: I20231002001931

Medical Identifiers

Medical identifiers for Shannon Gordy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245912278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS019950 (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. Shannon Gordy allows following entities to bill medicare on her behalf.
Entity NameTiffany Griffiths Psy D & Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649507831
PECOS PAC ID: 5496907776
Enrollment ID: O20121213000057

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. Shannon Gordy 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
Shannon Gordy, PSYD
1251 Wyoming Ave,
Exeter, PA 18643-1434

Ph: (570) 342-8434
Shannon Gordy, PSYD
502 N Blakely St,
Dunmore, PA 18512-1943

Ph: (570) 342-8434

Reviews and Comments


Psychologist in Dunmore, PA

Dr. Tiffany Marie Griffiths, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 502 N Blakely St, Dunmore, PA 18512
Phone: 570-342-8434    Fax: 570-342-7446
Angela Farris, LCSW
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1141 Clay Ave Ste 2, Dunmore, PA 18510
Phone: 570-207-7919    Fax: 570-963-1953
Mary P Cunningham, MA
Psychologist
Medicare: May Accept Medicare Assignments
Practice Location: 1141 Clay Ave, Dunmore, PA 18510
Phone: 570-207-1429    Fax: 570-963-1953
Allison Jane Little, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 502 N Blakely St, Dunmore, PA 18512
Phone: 570-342-8434    
Mrs. Lisa L Starr, M.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1141 Clay Ave, Dunmore, PA 18510
Phone: 570-343-3030    Fax: 570-558-0777
Mr. Gerald Augustus Solfanelli, M.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1141 Clay Ave, Dunmore, PA 18510
Phone: 570-343-6838    Fax: 570-558-7247

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.