Kam Carr Gardner, MS in Vallejo, CA - Medicare Speech-Language Pathologist Provider

Kam Carr Gardner, MS is a medicare enrolled "Speech-language Pathologist" provider in Vallejo, California. Her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 651-1320.

Kam Carr Gardner is licensed to practice in California (license number 12761) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184789539.

Contact Information

	Kam Carr Gardner, MS
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-1320
	(707) 651-2308

Map and Direction

Healthcare Provider's Profile

Full Name	Kam Carr Gardner
Gender	Female
Speciality	Speech-language Pathologist
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184789539
Provider Enumeration Date: 12/26/2006
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3870721095
Enrollment ID: I20140115001857

Medical Identifiers

Medical identifiers for Kam Carr Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184789539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	12761 (California)	Primary

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. Kam Carr Gardner allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kam Carr 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
Kam Carr Gardner, MS 214 De Anza Dr, Vallejo, CA 94589-2630 Ph: () -	Kam Carr Gardner, MS 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1320

Reviews and Comments

Speech-Language Pathologist in Vallejo, CA

Alice Nicholls, M.S., SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1320
Cara Cosce, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1320 Fax: 707-651-2308
Laura Krumme, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1044 Heartwood Ave, Vallejo, CA 94591 Phone: 707-643-2267
Itherapy, A Speech Pathology Corporation Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 955 Walnut Avenue, Vallejo, CA 94592 Phone: 707-651-9915
Gianna Nardone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Mr. Thomas William Hickey, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1527 Springs Rd, Vallejo, CA 94591 Phone: 707-643-2793
Olivia On Yi Chu, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1320

Kam Carr Gardner, MS - Medicare Speech-Language Pathologist in Vallejo, CA