Dee T Gardner, DO is a medicare enrolled "Hospitalist" 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.
Dee T Gardner is licensed to practice in Utah (license number 12998394-1204) 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 1194184747.
Physician's Profile
Full Name | Dee T Gardner |
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Gender | Male |
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Speciality | Hospitalist |
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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: 1194184747
- Provider Enumeration Date: 02/10/2016
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709179328
- Enrollment ID: I20230503003272
Medical Identifiers
Medical identifiers for Dee T Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194184747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0102205263 (Virginia) | Secondary |
208M00000X | Hospitalist | 12998394-1204 (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. Dee T Gardner allows following entities to bill medicare on his behalf.
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Dee T 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 |
Dee T Gardner, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dee T Gardner, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1000 |
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