Lance Lee Gardner, PT in Rising Sun, MD - Medicare Physical Therapist In Private Practice Provider

Lance Lee Gardner, PT is a medicare enrolled "Physical Therapist" provider in Rising Sun, Maryland. He graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Ati Holdings, Llc and his current practice location is 52 Rising Sun Town Ctr, Rising Sun, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 658-0100.

Lance Lee Gardner is licensed to practice in Maryland (license number 22795) 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 1710088141.

Contact Information

	Lance Lee Gardner, PT
	52 Rising Sun Town Ctr, Rising Sun, MD 21911-1902
	(410) 658-0100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lance Lee Gardner
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	24 Years
Location	52 Rising Sun Town Ctr, Rising Sun, Maryland
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:

Lance Lee Gardner graduated from medical school in 2001

NPI Data:

NPI Number: 1710088141
Provider Enumeration Date: 09/26/2006
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3779548680
Enrollment ID: I20041119000630

Medical Identifiers

Medical identifiers for Lance Lee Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710088141	NPI	-	NPPES
3117934	Other	PA	US HEALTH CARE
GA1446210	Other	PA	BLUE SHIELD
2129596000	Other	PA	KEYSTONE
11227669	Other	PA	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT015177 (Pennsylvania)	Secondary
225100000X	Physical Therapist	22795 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ati Holdings, Llc	9537112719	369

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. Lance Lee Gardner allows following entities to bill medicare on his behalf.

Provider Name	Ati Holdings, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20060727000214

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. Lance Lee 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
Lance Lee Gardner, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Lance Lee Gardner, PT 52 Rising Sun Town Ctr, Rising Sun, MD 21911-1902 Ph: (410) 658-0100

Reviews and Comments

Physical Therapist in Rising Sun, MD

Courtney Eve Christman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199
Mr. Antonio Eacdine Pomponi, MPT CERT MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199
Thomas Ballenger, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199
Frederick Earl Jenkins Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1881 Telegraph Rd, Rising Sun, MD 21911 Phone: 410-658-6555
Ati Holdings, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-297-8141
Judith Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199
John D Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199

Lance Lee Gardner, PT - Medicare Physical Therapist in Rising Sun, MD