Timothy Andrew Gardner, MD in Grand Island, NE

Timothy Andrew Gardner, MD is a medicare enrolled "Pediatrics" physician in Grand Island, Nebraska. His current practice location is 2444 W Faidley Ave, Grand Island, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 382-1100.

Timothy Andrew Gardner is licensed to practice in Nebraska (license number 20515) 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 1376543322.

Contact Information

	Timothy Andrew Gardner, MD
	2444 W Faidley Ave, Grand Island, NE 68803-4327
	(308) 382-1100
	(308) 385-0796

Map and Direction

Physician's Profile

Full Name	Timothy Andrew Gardner
Gender	Male
Speciality	Pediatrics
Location	2444 W Faidley Ave, Grand Island, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376543322
Provider Enumeration Date: 07/29/2005
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4385628528
Enrollment ID: I20040616000030

Medical Identifiers

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

Identifier	Type	State	Issuer
1376543322	NPI	-	NPPES
47017633037	Medicaid	NE
34032	Other	NE	BCBS
240082	Other	NE	MIDLANDS CHOICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	20515 (Nebraska)	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. Timothy Andrew Gardner allows following entities to bill medicare on his behalf.

Entity Name	Grand Island Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598766735 PECOS PAC ID: 9931181526 Enrollment ID: O20040607000660

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. Timothy Andrew 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
Timothy Andrew Gardner, MD Po Box 550, Grand Island, NE 68802-0550 Ph: (308) 382-1100	Timothy Andrew Gardner, MD 2444 W Faidley Ave, Grand Island, NE 68803-4327 Ph: (308) 382-1100

Reviews and Comments

Pediatrics Doctors in Grand Island, NE

Melissa Karen Law, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796
Karen M Higgins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796
Janice M Kutilek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796
Dr. Morgan Marie Carson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 130-838-2110
Douglas Alan Boon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796
Agnes Gomes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796

Timothy Andrew Gardner, MD - Medicare Pediatrics in Grand Island, NE