Daniel Fitzgerald Gardner, MD in Tualatin, OR

Daniel Fitzgerald Gardner, MD is a medicare enrolled "Surgery" physician in Tualatin, Oregon. His current practice location is 19250 Sw 65th Ave Ste 235, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 692-5650.

Daniel Fitzgerald Gardner is licensed to practice in Oregon (license number MD211065) 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 1255863544.

Contact Information

	Daniel Fitzgerald Gardner, MD
	19250 Sw 65th Ave Ste 235, Tualatin, OR 97062-7745
	(503) 692-5650
	(503) 692-7903

Map and Direction

Physician's Profile

Full Name	Daniel Fitzgerald Gardner
Gender	Male
Speciality	Surgery
Location	19250 Sw 65th Ave Ste 235, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255863544
Provider Enumeration Date: 03/28/2017
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0749554475
Enrollment ID: I20220908003376

Medical Identifiers

Medical identifiers for Daniel Fitzgerald Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255863544	NPI	-	NPPES
500728008	Medicaid	OR
2084358	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD211065 (Oregon)	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. Daniel Fitzgerald Gardner allows following entities to bill medicare on his behalf.

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

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. Daniel Fitzgerald 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
Daniel Fitzgerald Gardner, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Daniel Fitzgerald Gardner, MD 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062-7745 Ph: (503) 692-5650

Reviews and Comments

Surgery Doctors in Tualatin, OR

James A Kilgore, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave #365, Tualatin, OR 97062 Phone: 503-691-0364 Fax: 503-612-6663
Dr. Heather Ann Nelson Zarour, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062 Phone: 503-692-5650 Fax: 503-692-7903
Dr. James Patrick Craven, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062 Phone: 503-692-5650 Fax: 503-692-7903
Nathan Arthur Kemalyan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6485 Sw Borland Rd, Ste B, Tualatin, OR 97062 Phone: 503-468-3222 Fax: 458-888-0891
Dr. Timothy Patrick Connall, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 19801 Sw 72nd Ave, Suite 160, Tualatin, OR 97062 Phone: 503-783-0544

Daniel Fitzgerald Gardner, MD - Medicare Surgery in Tualatin, OR