Jeffrey Thomas Gardner Ii, - Medicare Dermatology in Snellville, GA

  1. Home
  2. Dermatology
  3. GA
  4. Snellville
Jeffrey Thomas Gardner Ii, is a medicare enrolled "Dermatology" physician in Snellville, Georgia. His current practice location is 2383 Pate St N, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 972-4845.

Jeffrey Thomas Gardner Ii is licensed to practice in Georgia (license number 101335) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366901324.

Contact Information

Jeffrey Thomas Gardner Ii,
2383 Pate St N,
Snellville, GA 30078-3250
(770) 972-4845
(770) 972-0358

Map and Direction




Physician's Profile

Full NameJeffrey Thomas Gardner Ii
GenderMale
SpecialityDermatology
Location2383 Pate St N, Snellville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366901324
  • Provider Enumeration Date: 03/18/2019
  • Last Update Date: 10/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8426388455
  • Enrollment ID: I20240110002890

Medical Identifiers

Medical identifiers for Jeffrey Thomas Gardner Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366901324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 4306 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207N00000XDermatology 101335 (Georgia)Primary

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. Jeffrey Thomas Gardner Ii allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameSac Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013935923
PECOS PAC ID: 4385533579
Enrollment ID: O20040315000608

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. Jeffrey Thomas Gardner Ii 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 AddressPractice Location Address
Jeffrey Thomas Gardner Ii,
2383 Pate St N,
Snellville, GA 30078-3250

Ph: (770) 972-4845		Jeffrey Thomas Gardner Ii,
2383 Pate St N,
Snellville, GA 30078-3250

Ph: (770) 972-4845

Reviews and Comments


Dermatology Doctors in Snellville, GA

Kirk D Saddler, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2383 Pate St, Snellville, GA 30078
Phone: 770-972-4845    Fax: 770-972-0358
Mrs. Sion Ward Jasmine, MD
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 2383 Pate St N, Snellville, GA 30078
Phone: 770-972-4845    
Joel S Shavin, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2383 Pate St, Snellville, GA 30078
Phone: 770-972-4845    Fax: 770-972-0358
Maria Paz Henkels,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2383 Pate St N, Snellville, GA 30078
Phone: 770-972-4845    
Dr. Jessica J. Mercer, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2383 Pate St, Snellville, GA 30078
Phone: 770-972-4845    Fax: 770-972-0358
Jonathan S Weiss, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2383 Pate St, Snellville, GA 30078
Phone: 770-972-4845    Fax: 770-972-0358

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.