Dr Mary S Gardner, MD | |
171 Webb Dr, Davenport, FL 33837-3944 | |
(863) 421-7276 | |
(863) 421-7109 |
Full Name | Dr Mary S Gardner |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 171 Webb Dr, Davenport, Florida |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508859703 | NPI | - | NPPES |
12131 | Other | FL | BLUE CROSS BLUE SHIELD |
053313100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME59197 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Sebring | Sebring, FL | Hospital |
Adventhealth Wauchula | Wauchula, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Radiology Services Of West Florida Inc | 4082998075 | 77 |
Entity Name | Sheridan Radiology Services Of West Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235674904 PECOS PAC ID: 4082998075 Enrollment ID: O20170413000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary S Gardner, MD 46 4th St Sw, Winter Haven, FL 33880-2910 Ph: (863) 294-2559 | Dr Mary S Gardner, MD 171 Webb Dr, Davenport, FL 33837-3944 Ph: (863) 421-7276 |
Oliver F Hamilton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2235 North Boulevard West, Davenport, FL 33837 Phone: 863-421-8674 | |
Mr. Anthony T Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2235 North Blvd West, Davenport, FL 33837 Phone: 863-421-8674 Fax: 863-421-9622 | |
Dr. Randy V Heysek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 40107 Hwy 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695 | |
Kenneth M. Neigut, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 40107 Hwy 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695 | |
Mr. Ivan G Murray, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2235 North Blvd West, Davenport, FL 33837 Phone: 863-421-8674 Fax: 863-421-9622 | |
Michael David Smith, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 40107 Highway 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695 |