Mrs Yorvoll Gardner, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Saint Louis, Missouri. Her current practice location is
1027 Bellevue Ave Ste 107, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 645-3743.
Mrs Yorvoll Gardner is licensed to practice in Missouri (license number 2017029363) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508381039.
Physician's Profile
| Full Name | Mrs Yorvoll Gardner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 1027 Bellevue Ave Ste 107, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508381039
- Provider Enumeration Date: 08/05/2017
- Last Update Date: 04/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537431614
- Enrollment ID: I20180420001104
Medical Identifiers
Medical identifiers for Mrs Yorvoll Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508381039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0300X | Internal Medicine - Geriatric Medicine | AG07170077 (Missouri) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 2017029363 (Missouri) | 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. Mrs Yorvoll Gardner allows following entities to bill medicare on her behalf.
| Entity Name | American Multispecialty Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972559532
PECOS PAC ID: 1658365572
Enrollment ID: O20040413001412 |
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| Entity Name | Generation Clinical Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104235241
PECOS PAC ID: 1557687803
Enrollment ID: O20150303001785 |
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| Entity Name | Sound Physicians Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666 |
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| Entity Name | Pai Participant 1 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20210503000979 |
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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. Mrs Yorvoll 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 |
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Mrs Yorvoll Gardner, NP
1922 Spring Beauty Dr,
Florissant, MO 63031-1021
Ph: (314) 323-2709 | Mrs Yorvoll Gardner, NP
1027 Bellevue Ave Ste 107,
Saint Louis, MO 63117-1851
Ph: (314) 645-3743 |
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