Dr Ellis Benjamin Gardner, MD FAAP is a medicare enrolled "Pediatrics" physician in Canaan, New Hampshire. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Mascoma Community Healthcare Inc and his current practice location is
18 Roberts Rd, Canaan, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 934-1464.
Dr Ellis Benjamin Gardner is licensed to practice in New Hampshire (license number 10330) 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 1932130630.
Physician's Profile
Full Name | Dr Ellis Benjamin Gardner |
---|
Gender | Male |
---|
Speciality | Pediatric Medicine |
---|
Experience | 28 Years |
---|
Location | 18 Roberts Rd, Canaan, New Hampshire |
---|
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:
- Dr Ellis Benjamin Gardner graduated from medical school in 1996
NPI Data:
- NPI Number: 1932130630
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 09/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163706227
- Enrollment ID: I20170309000863
Medical Identifiers
Medical identifiers for Dr Ellis Benjamin Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932130630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 037734 (Connecticut) | Secondary |
208000000X | Pediatrics | 10330 (New Hampshire) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mascoma Community Healthcare Inc | 2466736525 | 3 |
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. Dr Ellis Benjamin Gardner allows following entities to bill medicare on his behalf.
Entity Name | Healthfirst Family Care Center Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1134180367 PECOS PAC ID: 4183688211 Enrollment ID: O20041117000908 |
---|
Entity Name | Mascoma Community Healthcare Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1497298087 PECOS PAC ID: 2466736525 Enrollment ID: O20170309000707 |
---|
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 Ellis Benjamin 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 Ellis Benjamin Gardner, MD FAAP 43 Caleb Dyer Ln, Mascoma Community Healthcare, Inc., Enfield, NH 03748-3551 Ph: (802) 673-5340 | Dr Ellis Benjamin Gardner, MD FAAP 18 Roberts Rd, Canaan, NH 03741-7644 Ph: (603) 934-1464 |
Reviews and Comments