Dr Mark L Gardner, MD | |
475 N Forbes St, Lakeport, CA 95453-4725 | |
(707) 263-6346 | |
(707) 263-5327 |
Full Name | Dr Mark L Gardner |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 475 N Forbes St, Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811921174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | ME0065785 (Florida) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | G73337 (California) | Primary |
Entity Name | Delray Ekg Readers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386656304 PECOS PAC ID: 6901703909 Enrollment ID: O20031217000857 |
Entity Name | Tenet Florida Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659417467 PECOS PAC ID: 0345349478 Enrollment ID: O20080129000575 |
Entity Name | Ecg Consultants Of Bethesda Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588811533 PECOS PAC ID: 8628134665 Enrollment ID: O20090227000151 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark L Gardner, MD 475 N Forbes St, Lakeport, CA 95453-4725 Ph: (707) 263-6346 | Dr Mark L Gardner, MD 475 N Forbes St, Lakeport, CA 95453-4725 Ph: (707) 263-6346 |
Bradley Trent Clair, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5196 Hill Rd E, Ste 202, Lakeport, CA 95453 Phone: 707-263-1777 Fax: 707-263-8137 | |
Dr. Charles Joseph Seage, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-472-4596 Fax: 707-462-7078 | |
Dr. Diane Joan Pege, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5117 Fax: 707-262-5094 | |
Anne E Tait, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5150 Hill Rd E Ste C, Lakeport, CA 95453 Phone: 707-263-3520 Fax: 707-263-3570 | |
Dr. John Mathew Schweifler, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5150 Hill Rd E Ste B, Lakeport, CA 95453 Phone: 707-263-7082 | |
Dr. Fareed Ramzi Asfour, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 628-600-3589 | |
Dr. Elyse Midori Donald, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E Ste B, Lakeport, CA 95453 Phone: 707-263-7082 |