Dr Cole Delworth Gardner, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Montgomery, Ohio. His current practice location is
10500 Montgomery Rd, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 865-1111.
Dr Cole Delworth Gardner is licensed to practice in Utah (license number 13689443-0501) 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 1063090561.
Healthcare Provider's Profile
Full Name | Dr Cole Delworth Gardner |
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Gender | Male |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 10500 Montgomery Rd, Montgomery, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063090561
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769824721
- Enrollment ID: I20240522004255
Medical Identifiers
Medical identifiers for Dr Cole Delworth Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063090561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 13689443-0501 (Utah) | 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. Dr Cole Delworth 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 |
Dr Cole Delworth Gardner, DPM 1846 N 350 E, Centerville, UT 84014-3117 Ph: (385) 335-1183 | Dr Cole Delworth Gardner, DPM 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-1111 |
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