Kelly Robert Gardner, MD | |
3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 | |
(702) 731-2888 | |
(702) 696-9289 |
Full Name | Kelly Robert Gardner |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 3061 S Maryland Pkwy, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255319463 | NPI | - | NPPES |
200290213 | Medicaid | NV | |
NV1309 | Other | NV | BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 6324 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sunrise Hospital And Medical Center | Las vegas, NV | Hospital |
Mountainview Hospital | Las vegas, NV | Hospital |
Southern Hills Hospital And Medical Center | Las vegas, NV | Hospital |
Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Specialists Ltd Marasso-miller | 0143110874 | 54 |
Entity Name | Radiology Specialists Ltd Marasso-miller |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437196979 PECOS PAC ID: 0143110874 Enrollment ID: O20040317000680 |
Mailing Address | Practice Location Address |
---|---|
Kelly Robert Gardner, MD 1 Independence Pt Ste 202, Greenville, SC 29615-4536 Ph: (877) 406-2916 | Kelly Robert Gardner, MD 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 Ph: (702) 731-2888 |
Dr. Douglas Glen Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Palomino Ln, #100, Las Vegas, NV 89106 Phone: 702-759-8600 | |
Saravanan Valliappan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118 Phone: 702-477-0772 | |
Ho Viet Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-240-1215 Fax: 702-243-7531 | |
Gorden Chu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-732-6000 Fax: 702-243-7531 | |
Nader Beheshti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118 Phone: 702-477-0772 | |
Joshua Rosenberg, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Palomino Lane, Ste # 100, Las Vegas, NV 89106 Phone: 702-759-8600 Fax: 702-384-1815 | |
Skyler Wayne Greene, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-732-6000 |