Michael J Gardner, PHD is a
Psychologist based in Butler, Missouri. Michael J Gardner is licensed to practice in Missouri (license number 01101) and his current practice location is
805 N Orange St, Butler, Missouri. He can be reached at his office (for appointments etc.) via phone at
(888) 403-1071.
NPI number for Michael J Gardner is 1295711109 and his current mailing address is 1800 Community, Clinton, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295711109.
Healthcare Provider's Profile
Full Name | Michael J Gardner |
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Gender | Male |
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Speciality | Psychologist |
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Location | 805 N Orange St, Butler, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295711109
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 05/25/2018
Medical Identifiers
Medical identifiers for Michael J Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295711109 | NPI | - | NPPES |
493346001 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 01101 (Missouri) | 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. Michael J 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 |
Michael J Gardner, PHD 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Michael J Gardner, PHD 805 N Orange St, Butler, MO 64730 Ph: (888) 403-1071 |
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