Kevin Gardner, in Oakland, CA - Medicare Critical Care (intensivists)

Kevin Gardner, is a medicare enrolled "Emergency Medicine" physician in Oakland, California. He went to University Of New Mexico School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Northeast Medical Group Inc, Bridgeport Hospital and his current practice location is 1411 E 31st St, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 437-8356.

Kevin Gardner is licensed to practice in California (license number 147618) 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 1407242373.

Contact Information

	Kevin Gardner,
	1411 E 31st St, Oakland, CA 94602-1018
	(510) 437-8356
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin Gardner
Gender	Male
Speciality	Critical Care (intensivists)
Experience	9 Years
Location	1411 E 31st St, Oakland, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Gardner attended and graduated from University Of New Mexico School Of Medicine in 2015

NPI Data:

NPI Number: 1407242373
Provider Enumeration Date: 04/08/2015
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 6709152234
Enrollment ID: I20220803001184

Medical Identifiers

Medical identifiers for Kevin Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407242373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	70723 (Connecticut)	Secondary
207P00000X	Emergency Medicine	147618 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bridgeport Hospital	Bridgeport, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1244
Bridgeport Hospital	2062312598	90

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. Kevin Gardner allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

Entity Name	Bridgeport Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Kevin 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
Kevin Gardner, 1411 E 31st St, Oakland, CA 94602-1092 Ph: (510) 437-4800	Kevin Gardner, 1411 E 31st St, Oakland, CA 94602-1018 Ph: (510) 437-8356

Reviews and Comments

Emergency Medicine Doctors in Oakland, CA

Daniel Mantuani, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1506 4th Ave Apt 5, Apt 5, Oakland, CA 94606 Phone: 504-390-5474
Jennifer I. Harris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Benjamin J. Bonnes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Richard J. Knight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Michael S. Gelfond, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Dr. Kayla Enriquez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4564
Dr. Emily Meilan Sze, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-869-2500

Kevin Gardner, - Medicare Critical Care (intensivists) in Oakland, CA