Wade Gordon, LCSW in Rexburg, ID - Medicare Social Worker Provider

Wade Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rexburg, Idaho. His current practice location is 310 N 2nd E, Suite 128, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 356-5675.

Wade Gordon is licensed to practice in Idaho (license number LCSW-27205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376740134.

Contact Information

	Wade Gordon, LCSW
	310 N 2nd E, Suite 128, Rexburg, ID 83440-1600
	(208) 356-5675
	(208) 356-5675

Healthcare Provider's Profile

Full Name	Wade Gordon
Gender	Male
Speciality	Social Worker - Clinical
Location	310 N 2nd E, Rexburg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376740134
Provider Enumeration Date: 06/27/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729205612
Enrollment ID: I20140818001154

Medical Identifiers

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

Identifier	Type	State	Issuer
1376740134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-27205 (Idaho)	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. Wade 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
Wade Gordon, LCSW 310 N 2nd E, Suite 128, Rexburg, ID 83440-1600 Ph: (208) 356-5675	Wade Gordon, LCSW 310 N 2nd E, Suite 128, Rexburg, ID 83440-1600 Ph: (208) 356-5675

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Social Worker in Rexburg, ID

Ms. Janell Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 Dividend Dr, Rexburg, ID 83440 Phone: 208-359-9683
Rhet Dalling, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 72 S 1st E, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-624-4030
Eric Scott Fernelius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 339 E 7th N, Rexburg, ID 83440 Phone: 801-510-4750
Trevor James Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 Madison Professional Park, Rexburg, ID 83440 Phone: 208-243-9304 Fax: 208-656-5668
Danielle Nicole Peterson, LMSW-41574 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Main St Ste 210, Rexburg, ID 83440 Phone: 208-357-3104
Mrs. Erica Lynne Finney, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 404 N 2nd E, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780
Phillip Hathaway, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 253 S 2nd E Bsmt, Rexburg, ID 83440 Phone: 253-232-3957

Wade Gordon, LCSW - Medicare Clinical Social Worker in Rexburg, ID