Michael A Gordon, PHD - Medicare Psychologist in Duluth, GA

Michael A Gordon, PHD is a medicare enrolled "Psychologist" provider in Duluth, Georgia. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 3650 Steve Reynolds Blvd, Department Of Behavioral Health, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 931-6012.

Michael A Gordon is licensed to practice in Georgia (license number PSY002028) 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 1508958489.

Contact Information

Michael A Gordon, PHD
3650 Steve Reynolds Blvd, Department Of Behavioral Health,
Duluth, GA 30096-4506
(770) 931-6012
Not Available



Healthcare Provider's Profile

Full NameMichael A Gordon
GenderMale
SpecialityClinical Psychologist
Experience30 Years
Location3650 Steve Reynolds Blvd, Duluth, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael A Gordon graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1508958489
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658348321
  • Enrollment ID: I20040913000719

Medical Identifiers

Medical identifiers for Michael A Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508958489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY002028 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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. Michael A Gordon allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Michael A 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 AddressPractice Location Address
Michael A Gordon, PHD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717

Ph: (404) 364-7000
Michael A Gordon, PHD
3650 Steve Reynolds Blvd, Department Of Behavioral Health,
Duluth, GA 30096-4506

Ph: (770) 931-6012

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Psychologist in Duluth, GA

Brandon Landry, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097
Phone: 678-379-3781    
Andrea M Gamache, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Pleasant Hill Rd, Suite 165, Duluth, GA 30096
Phone: 770-476-1967    Fax: 770-476-0377
Dr. Craig Andrew Dike, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 3700 Crestwood Pkwy Nw Ste 500, Duluth, GA 30096
Phone: 678-924-5756    
Dr. Stacey Gabriel, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6290 Abbotts Bridge Rd, Suite 501, Duluth, GA 30097
Phone: 404-202-1309    
Dr. Chante Wellington Mitchell, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Pleasant Hill Rd Ste 165, Duluth, GA 30096
Phone: 412-609-7550    Fax: 770-476-0377
Dr. Gabriela Beatriz Rodriguez, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2250 Satellite Blvd Ste 175, Duluth, GA 30097
Phone: 770-232-0555    
Dr. Steven E Weinstein, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3675 Crestwood Pkwy Nw, Suite 550, Duluth, GA 30096
Phone: 770-923-4100    

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