Mr Cleveland Eugene Gardner Iii, is a
Peer Specialist based in San Diego, California. Mr Cleveland Eugene Gardner Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is
4283 El Cajon Blvd Ste 115, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 521-1743.
NPI number for Mr Cleveland Eugene Gardner Iii is 1831633189 and his current mailing address is 4266 37th St, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831633189.
Healthcare Provider's Profile
Full Name | Mr Cleveland Eugene Gardner Iii |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 4283 El Cajon Blvd Ste 115, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831633189
- Provider Enumeration Date: 12/06/2016
- Last Update Date: 05/11/2023
Medical Identifiers
Medical identifiers for Mr Cleveland Eugene Gardner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831633189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | 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 Cleveland Eugene Gardner Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Cleveland Eugene Gardner Iii, 4266 37th St, San Diego, CA 92105-1001 Ph: (858) 285-9824 | Mr Cleveland Eugene Gardner Iii, 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 Ph: (619) 521-1743 |
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