Dr Michael Paul Gardner, MD is a medicare enrolled "Urology" physician in Tualatin, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Urology. His current practice location is
19260 Sw 65th Ave, Suite 400, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 692-1200.
Dr Michael Paul Gardner is licensed to practice in Oregon (license number MD22270) 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 1215993845.
Physician's Profile
| Full Name | Dr Michael Paul Gardner |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 29 Years |
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| Location | 19260 Sw 65th Ave, Tualatin, Oregon |
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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. |
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Medical Education and Training:
- Dr Michael Paul Gardner attended and graduated from Oregon Health Sciences University School Of Medicine in 1995
NPI Data:
- NPI Number: 1215993845
- Provider Enumeration Date: 04/22/2006
- Last Update Date: 03/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 5193807402
- Enrollment ID: I20080125000216
Medical Identifiers
Medical identifiers for Dr Michael Paul Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215993845 | NPI | - | NPPES |
| 288387 | Other | OR | OMAP NUMBER |
| 288387 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | MD22270 (Oregon) | Primary |
Medical Facilities Affiliation
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. Dr Michael Paul Gardner allows following entities to bill medicare on his behalf.
| Entity Name | Michael P Gardner Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437330180
PECOS PAC ID: 9739261702
Enrollment ID: O20080129000785 |
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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. Dr Michael Paul 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 |
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Dr Michael Paul Gardner, MD
19260 Sw 65th Ave, Suite 400,
Tualatin, OR 97062-5701
Ph: (503) 692-1200 | Dr Michael Paul Gardner, MD
19260 Sw 65th Ave, Suite 400,
Tualatin, OR 97062-5701
Ph: (503) 692-1200 |
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