Brelan Mikal Gardner, FNP in Newton, MS - Medicare Nurse Practitioner

Brelan Mikal Gardner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Newton, Mississippi. His current practice location is 296 Eastside Dr, Newton, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 228-8985.

Brelan Mikal Gardner is licensed to practice in Mississippi (license number 905732) 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 1972216240.

Contact Information

	Brelan Mikal Gardner, FNP
	296 Eastside Dr, Newton, MS 39345-8036
	(601) 228-8985
	Not Available

Map and Direction

Provider's Profile

Full Name	Brelan Mikal Gardner
Gender	Male
Speciality	Nurse Practitioner - Family
Location	296 Eastside Dr, Newton, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972216240
Provider Enumeration Date: 01/03/2023
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3870964737
Enrollment ID: I20230201001013

Medical Identifiers

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

Identifier	Type	State	Issuer
1972216240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905732 (Mississippi)	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. Brelan Mikal Gardner allows following entities to bill medicare on his behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Brelan Mikal 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
Brelan Mikal Gardner, FNP Po Box 608, Philadelphia, MS 39350-0608 Ph: (662) 694-0035	Brelan Mikal Gardner, FNP 296 Eastside Dr, Newton, MS 39345-8036 Ph: (601) 228-8985

Reviews and Comments

Nurse Practitioner Nurses in Newton, MS

Ms. Vanessa Norman, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Northside Dr, Newton, MS 39345 Phone: 601-683-3117
Rhonda P. Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 School Street Ext, Newton, MS 39345 Phone: 601-683-3327 Fax: 601-683-3329
Ms. Cynthia Marguerite Schuetz-smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9425 Eastside Dr. Ext Hwy 15 North, Newton, MS 39345 Phone: 601-635-3333 Fax: 601-693-3330
Jason William Roberts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330
Madison Windham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330
Abby Nicole Novak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Eastside Dr, Newton, MS 39345 Phone: 601-228-8985
Meagan Nicole Chaney, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9421 Eastside Drive Ext, Newton, MS 39345 Phone: 601-683-2031 Fax: 601-849-1318

Brelan Mikal Gardner, FNP - Medicare Nurse Practitioner in Newton, MS