Glenn Pierce Gardner, MD | |
1086 Franklin St, Ste 3002, Johnstown, PA 15905-4305 | |
(814) 534-9194 | |
(814) 534-5847 |
Full Name | Glenn Pierce Gardner |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1086 Franklin St, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932165321 | NPI | - | NPPES |
001543260 | Medicaid | PA | |
259599 | Other | MO | HEALTHLINK |
202277 | Other | MO | BLUE SHIELD/BLUE CHOICE |
206237307 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 20050400008 (Missouri) | Secondary |
2086S0129X | Surgery - Vascular Surgery | MD 60118824 (Washington) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
Mailing Address | Practice Location Address |
---|---|
Glenn Pierce Gardner, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | Glenn Pierce Gardner, MD 1086 Franklin St, Ste 3002, Johnstown, PA 15905-4305 Ph: (814) 534-9194 |
Bradley Stephen Winegardner, Surgery Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-1660 | |
Gerard A Garguilo, MD Surgery Medicare: Medicare Enrolled Practice Location: 1111 Franklin St, Ste 030, Johnstown, PA 15905 Phone: 814-539-6797 Fax: 814-535-8400 | |
Ruth N Cho, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-1660 Fax: 814-534-1680 | |
Flavia Davit, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9756 Fax: 814-534-3279 | |
Brittany Ann Steffens, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St # Gsg54, Johnstown, PA 15905 Phone: 814-534-1660 Fax: 814-534-1680 | |
Magdi Azer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 320 Main St, 1st Floor, Johnstown, PA 15901 Phone: 814-534-1770 Fax: 814-534-1942 | |
Dr. Daniel R Nevarre, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 415 Napoleon Pl, Johnstown, PA 15901 Phone: 814-536-9000 |