Mr Charles H Gardner Jr, LADC is a medicare enrolled "Social Worker" provider in Bangor, Maine. He graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sweetser and his current practice location is
1012 Union St, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 945-5247.
Mr Charles H Gardner Jr is licensed to practice in Maine (license number MC14888) 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 1790102093.
Healthcare Provider's Profile
Full Name | Mr Charles H Gardner Jr |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 10 Years |
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Location | 1012 Union St, Bangor, Maine |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Charles H Gardner Jr graduated from medical school in 2014
NPI Data:
- NPI Number: 1790102093
- Provider Enumeration Date: 03/25/2014
- Last Update Date: 07/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 1951672955
- Enrollment ID: I20170809003798
Medical Identifiers
Medical identifiers for Mr Charles H Gardner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790102093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC 5014 (Maine) | Secondary |
104100000X | Social Worker | MC14888 (Maine) | 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. Mr Charles H Gardner Jr allows following entities to bill medicare on his behalf.
Entity Name | Sweetser |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
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Entity Name | Charles H Gardner Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518628916 PECOS PAC ID: 6002208352 Enrollment ID: O20220118000971 |
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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. Mr Charles H Gardner Jr 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 |
Mr Charles H Gardner Jr, LADC Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 945-5247 | Mr Charles H Gardner Jr, LADC 1012 Union St, Bangor, ME 04401-3060 Ph: (207) 945-5247 |
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