Christopher Jeff Gardner, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Satanta, Kansas. His current practice location is
410 Cheyenne, Satanta, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 649-2771.
Christopher Jeff Gardner is licensed to practice in Kansas (license number 45845) 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 1326092172.
Provider's Profile
| Full Name | Christopher Jeff Gardner |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 410 Cheyenne, Satanta, Kansas |
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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: 1326092172
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 2163425737
- Enrollment ID: I20150227001727
Medical Identifiers
Medical identifiers for Christopher Jeff Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326092172 | NPI | - | NPPES |
| 1326092172 | Medicaid | MO | |
| 200390150A | Medicaid | KS | |
| 45845 | Other | KS | ARNP # |
| 14-97622-101 | Other | KS | RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2002018055 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 45845 (Kansas) | 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. Christopher Jeff Gardner allows following entities to bill medicare on his behalf.
| Entity Name | Davis County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487740486
PECOS PAC ID: 3971493040
Enrollment ID: O20040319001367 |
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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. Christopher Jeff 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 |
|---|
Christopher Jeff Gardner, FNP-C
410 Cheyenne, Po Box 9,
Satanta, KS 67870-8748
Ph: (620) 649-2771 | Christopher Jeff Gardner, FNP-C
410 Cheyenne,
Satanta, KS 67870-8748
Ph: (620) 649-2771 |
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