Dr Ellis Benjamin Gardner, MD FAAP is a medicare enrolled "Pediatrics" physician in Canaan, New Hampshire. His current practice location is
18 Roberts Rd, Canaan, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 934-1464.
Dr Ellis Benjamin Gardner is licensed to practice in New Hampshire (license number 10330) 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 1932130630.
Physician's Profile
Full Name | Dr Ellis Benjamin Gardner |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 18 Roberts Rd, Canaan, New Hampshire |
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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. |
Medical Education and Training:
- Dr Ellis Benjamin Gardner attended and graduated from in
NPI Data:
- NPI Number: 1932130630
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 09/20/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ellis Benjamin Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932130630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 037734 (Connecticut) | Secondary |
208000000X | Pediatrics | 10330 (New Hampshire) | 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. Dr Ellis Benjamin 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 |
Dr Ellis Benjamin Gardner, MD FAAP 43 Caleb Dyer Ln, Mascoma Community Healthcare, Inc., Enfield, NH 03748-3551 Ph: (802) 673-5340 | Dr Ellis Benjamin Gardner, MD FAAP 18 Roberts Rd, Canaan, NH 03741-7644 Ph: (603) 934-1464 |
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