Mr Mario Gardner, APRN in Destin, FL - Medicare Nurse Practitioner

Mr Mario Gardner, APRN is a medicare enrolled "Nurse Practitioner" in Destin, Florida. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Emerald Coast Infectious Diseases Medical Group, P.a. and his current practice location is 137 Crystal Beach Dr Ste 121, Destin, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 807-4388.

Mr Mario Gardner is licensed to practice in Florida (license number APRN11006004) 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 1679117451.

Contact Information

	Mr Mario Gardner, APRN
	137 Crystal Beach Dr Ste 121, Destin, FL 32541-3573
	(850) 807-4388
	(850) 862-0605

Map and Direction

Provider's Profile

Full Name	Mr Mario Gardner
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	137 Crystal Beach Dr Ste 121, Destin, Florida
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 Mario Gardner graduated from nursing school in 2019

NPI Data:

NPI Number: 1679117451
Provider Enumeration Date: 11/04/2019
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4688003510
Enrollment ID: I20200329000151

Medical Identifiers

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

Identifier	Type	State	Issuer
1679117451	NPI	-	NPPES
105938800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11006004 (Florida)	Primary
163W00000X	Registered Nurse	RN9265919 (Florida)	Secondary
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	APRN11006004 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emerald Coast Infectious Diseases Medical Group, P.a.	5092753772	9

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 Mario Gardner allows following entities to bill medicare on his behalf.

Entity Name	Emerald Coast Infectious Diseases Medical Group, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017882 PECOS PAC ID: 5092753772 Enrollment ID: O20050422000315

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 Mario 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
Mr Mario Gardner, APRN 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6651 Ph: (508) 623-9798	Mr Mario Gardner, APRN 137 Crystal Beach Dr Ste 121, Destin, FL 32541-3573 Ph: (850) 807-4388

Reviews and Comments

Nurse Practitioner Nurses in Destin, FL

Mrs. Kandyce L Silver, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4495 Furling Ln Ste 210, Destin, FL 32541 Phone: 850-460-8483 Fax: 833-645-0014
Julia Andreyevna Drevinskas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4718 Amhurst Cir, Destin, FL 32541 Phone: 850-225-8499
Dia Bobb, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36468 Emerald Coast Pkwy Ste 7102, Destin, FL 32541 Phone: 850-842-3256 Fax: 850-353-2561
Miss Da-yema Micarla Lowe, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Crystal Beach Dr Ste 137, Destin, FL 32541 Phone: 850-226-7100 Fax: 850-226-7157
Pamela Ross, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Crystal Beach Dr Unit 137-c, Destin, FL 32541 Phone: 850-226-7100
Susan Ott, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Beach Dr Ste 137c, Destin, FL 32541 Phone: 850-460-7090 Fax: 850-460-7093
Dr. Sarah J Baxley, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Nautica Way, Destin, FL 32541 Phone: 850-757-9046 Fax: 844-342-0852

Mr Mario Gardner, APRN - Medicare Nurse Practitioner in Destin, FL