Barry Gardner, MD is a medicare enrolled "General Practice" physician in Logan, Utah. His current practice location is
1400 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 716-1000.
Barry Gardner is licensed to practice in Utah (license number 319532-1205) 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 1922049923.
Physician's Profile
Full Name | Barry Gardner |
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Gender | Male |
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Speciality | General Practice |
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Location | 1400 N 500 E, Logan, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922049923
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486602273
- Enrollment ID: I20050107000863
Medical Identifiers
Medical identifiers for Barry Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922049923 | NPI | - | NPPES |
807469200 | Medicaid | ID | |
P00393212 | Other | | RAILROAD MEDICARE |
D1618 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 319532 (Utah) | Secondary |
208D00000X | General Practice | 319532-1205 (Utah) | 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. Barry Gardner allows following entities to bill medicare on his behalf.
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
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Entity Name | American Current Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003090879 PECOS PAC ID: 9739260019 Enrollment ID: O20091207000033 |
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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. Barry Gardner 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 |
Barry Gardner, MD Po Box 25535, Salt Lake City, UT 84125-0535 Ph: (866) 898-7136 | Barry Gardner, MD 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1000 |
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