Michelle T Gardner, MD | |
1001 Sam Perry Blvd, Fredericksburg, VA 22401 | |
(540) 741-1100 | |
Not Available |
Full Name | Michelle T Gardner |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 12 Years |
Location | 1001 Sam Perry Blvd, Fredericksburg, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831450469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | M-14177 (Idaho) | Primary |
208000000X | Pediatrics | 0101257904 (Virginia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice 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 |
Dr. Nisha K Surenderanath, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Emancipation Hwy, Fredericksburg, VA 22401 Phone: 540-310-0117 Fax: 540-310-4736 | |
Dr. Christina Josephine Tambasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-498-4702 | |
Dr. Verne Elise Rochford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4604 Spotsylvania Pkwy Ste 200, Fredericksburg, VA 22408 Phone: 540-423-6000 Fax: 540-423-6655 | |
Dr. Catherine Nana Abban, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Hospital Dr, Fredericksburg, VA 22401 Phone: 540-368-3700 | |
Bernadette Wells, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4107 Lafayette Blvd, Suite 2, Fredericksburg, VA 22408 Phone: 540-891-0246 Fax: 540-891-0584 | |
Dr. Sharon Young Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10600 Spotsylvania Ave, Fredericksburg, VA 22408 Phone: 804-380-3842 | |
Dr. Blair Mcclintock Ryland Lethbridge, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2632 Salem Church Rd, Fredericksburg, VA 22407 Phone: 540-899-3440 Fax: 540-899-3434 |