Mr Charles H Gardner Jr, LADC is a medicare enrolled "Social Worker" provider in Bangor, Maine. 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 | |
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| Experience | 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. |
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Medical Education and Training:
- Mr Charles H Gardner Jr attended and graduated from in
NPI Data:
- NPI Number: 1790102093
- Provider Enumeration Date: 03/25/2014
- Last Update Date: 07/24/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 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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