Mr David Allen Gardner Jr, in Providence, RI - Medicare Nurse Practitioner

Mr David Allen Gardner Jr, is a medicare enrolled "Nurse Practitioner - Acute Care" in Providence, Rhode Island. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rhode Island Hospital and his current practice location is 593 Eddy Street, Apc Main, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-5435.

Mr David Allen Gardner Jr is licensed to practice in Rhode Island (license number APRN01860) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427537604.

Contact Information

	Mr David Allen Gardner Jr,
	593 Eddy Street, Apc Main, Providence, RI 02903
	(401) 444-5435
	(401) 444-8301

Map and Direction

Provider's Profile

Full Name	Mr David Allen Gardner Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	593 Eddy Street, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr David Allen Gardner Jr graduated from nursing school in 2018

NPI Data:

NPI Number: 1427537604
Provider Enumeration Date: 08/09/2018
Last Update Date: 09/19/2018

Medicare PECOS Information:

PECOS PAC ID: 1254683303
Enrollment ID: I20181017003509

Medical Identifiers

Medical identifiers for Mr David Allen Gardner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427537604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	APRN01860 (Rhode Island)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	APRN01860 (Rhode Island)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN01860 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rhode Island Hospital	Providence, RI	Hospital
The Miriam Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rhode Island Hospital	8921900044	307

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. Mr David Allen Gardner Jr allows following entities to bill medicare on his behalf.

Entity Name	Rhode Island Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311

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. Mr David Allen Gardner Jr 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
Mr David Allen Gardner Jr, 117 Ellenfield St Ste 101, Providence, RI 02905-4513 Ph: (401) 444-6779	Mr David Allen Gardner Jr, 593 Eddy Street, Apc Main, Providence, RI 02903 Ph: (401) 444-5435

Reviews and Comments

Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100

Mr David Allen Gardner Jr, - Medicare Nurse Practitioner in Providence, RI