Michelle T Gardner, MD - Medicare Pediatric Medicine in Fredericksburg, VA

Michelle T Gardner, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Fredericksburg, Virginia. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 1001 Sam Perry Blvd, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 741-1100.

Michelle T Gardner is licensed to practice in Idaho (license number M-14177) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831450469.

Contact Information

Michelle T Gardner, MD
1001 Sam Perry Blvd,
Fredericksburg, VA 22401
(540) 741-1100
Not Available

Map and Direction




Physician's Profile

Full NameMichelle T Gardner
GenderFemale
SpecialityPediatric Medicine
Experience12 Years
Location1001 Sam Perry Blvd, Fredericksburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle T Gardner graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1831450469
  • Provider Enumeration Date: 05/30/2012
  • Last Update Date: 06/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7012156862
  • Enrollment ID: I20180724002812

Medical Identifiers

Medical identifiers for Michelle T Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831450469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine M-14177 (Idaho)Primary
208000000XPediatrics 0101257904 (Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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. Michelle T Gardner allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Michelle T 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 AddressPractice Location Address
Michelle T Gardner, MD
Po Box 37215,
Baltimore, MD 21297-3215

Ph: (202) 476-5000
Michelle T Gardner, MD
1001 Sam Perry Blvd,
Fredericksburg, VA 22401

Ph: (540) 741-1100

Reviews and Comments


Pediatrics Doctors in Fredericksburg, VA

Dr. Nisha K Surenderanath, M.D.
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Dr. Christina Josephine Tambasco, M.D.
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Dr. Catherine Nana Abban, MD
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Bernadette Wells, M.D.
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Phone: 540-891-0246    Fax: 540-891-0584
Dr. Sharon Young Shaw, MD
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Practice Location: 10600 Spotsylvania Ave, Fredericksburg, VA 22408
Phone: 804-380-3842    
Dr. Blair Mcclintock Ryland Lethbridge, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 2632 Salem Church Rd, Fredericksburg, VA 22407
Phone: 540-899-3440    Fax: 540-899-3434

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).

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