Grant R Gardner, LPN is a
Licensed Practical Nurse based in Burlington Flats, New York. Grant R Gardner is licensed to practice in New York (license number 249313-1) and his current practice location is
5907 State Highway 51, Burlington Flats, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 965-6620.
NPI number for Grant R Gardner is 1356779219 and his current mailing address is 5907 State Highway 51, Burlington Flats, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356779219.
Provider's Profile
| Full Name | Grant R Gardner |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 5907 State Highway 51, Burlington Flats, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356779219
- Provider Enumeration Date: 10/30/2013
- Last Update Date: 10/30/2013
Medical Identifiers
Medical identifiers for Grant R Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356779219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 249313-1 (New York) | 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. Grant R Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grant R Gardner, LPN
5907 State Highway 51,
Burlington Flats, NY 13315-2009
Ph: (607) 965-6620 | Grant R Gardner, LPN
5907 State Highway 51,
Burlington Flats, NY 13315-2009
Ph: (607) 965-6620 |
Reviews and Comments