Beau Gardner, PMHNP in Mesa, AZ - Medicare Nurse Practitioner

Beau Gardner, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. His current practice location is 868 E University Dr, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 969-4024.

Beau Gardner is licensed to practice in Arizona (license number 278490) 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 1538895594.

Contact Information

	Beau Gardner, PMHNP
	868 E University Dr, Mesa, AZ 85203-8033
	(480) 969-4024
	Not Available

Map and Direction

Provider's Profile

Full Name	Beau Gardner
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	868 E University Dr, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538895594
Provider Enumeration Date: 08/01/2022
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6608238142
Enrollment ID: I20230815001812

Medical Identifiers

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

Identifier	Type	State	Issuer
1538895594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	278490 (Arizona)	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. Beau Gardner allows following entities to bill medicare on his behalf.

Entity Name	Agave Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619594546 PECOS PAC ID: 0941625651 Enrollment ID: O20200728004000

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. Beau 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
Beau Gardner, PMHNP 853 N Cherry, Mesa, AZ 85201-4000 Ph: () -	Beau Gardner, PMHNP 868 E University Dr, Mesa, AZ 85203-8033 Ph: (480) 969-4024

Reviews and Comments

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Beau Gardner, PMHNP - Medicare Nurse Practitioner in Mesa, AZ