Robert William Gardner, is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Lucerne, California. His current practice location is
6300 E. Hwy 20, Lucerne, California. You can reach out to his office (for appointments etc.) via phone at
(707) 274-9299.
Robert William Gardner is licensed to practice in California (license number G30366) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023183829.
Physician's Profile
Full Name | Robert William Gardner |
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Gender | Male |
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Speciality | Family Medicine - Addiction Medicine |
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Location | 6300 E. Hwy 20, Lucerne, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023183829
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 11/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 7416865688
- Enrollment ID: I20100802000714
Medical Identifiers
Medical identifiers for Robert William Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023183829 | NPI | - | NPPES |
00G303660 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0401X | Family Medicine - Addiction Medicine | G30366 (California) | Primary |
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. Robert William 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 |
Robert William Gardner, 10458 Chatten Court, Clearlake Oaks, CA 95423-7050 Ph: (707) 274-9299 | Robert William Gardner, 6300 E. Hwy 20, Lucerne, CA 95458 Ph: (707) 274-9299 |
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