Samuel Gordon, in Waconia, MN - Medicare Qualified Speech Language Pathologist Provider

Samuel Gordon, is a medicare enrolled "Speech-language Pathologist" provider in Waconia, Minnesota. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. His current practice location is 9346 Oak Ave, Waconia, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 442-5812.

Samuel Gordon is licensed to practice in Minnesota (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1710747001.

Contact Information

	Samuel Gordon,
	9346 Oak Ave, Waconia, MN 55387-9422
	(952) 442-5812
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Gordon
Gender	Male
Speciality	Qualified Speech Language Pathologist
Experience	5 Years
Location	9346 Oak Ave, Waconia, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Gordon graduated from medical school in 2021

NPI Data:

NPI Number: 1710747001
Provider Enumeration Date: 03/21/2024
Last Update Date: 06/02/2026

Medicare PECOS Information:

PECOS PAC ID: 8123533577
Enrollment ID: I20250715000386

Medical Identifiers

Medical identifiers for Samuel Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710747001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(Minnesota)	Primary

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. Samuel 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
Samuel Gordon, 1243 Edmonson Ave Ne Apt 309, Monticello, MN 55362-5509 Ph: (919) 939-6303	Samuel Gordon, 9346 Oak Ave, Waconia, MN 55387-9422 Ph: (952) 442-5812

Reviews and Comments

Speech-Language Pathologist in Waconia, MN

Carli Halldorson, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506
Cassidy Lee Schwinghammer, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506
Meghan Borowski, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506
Eden Schwahn, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506
Sarah Ritz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 Fax: 952-443-2038
Lauren Studer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506
Sabrina Stevens, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506

Samuel Gordon, - Medicare Speech-Language Pathologist in Waconia, MN