James Gardner, MD - Medicare Plastic And Reconstructive Surgery in Summit, NJ

James Gardner, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Summit, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 1987 and has 37 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Practice Associates Medical Group and his current practice location is 33 Overlook Rd, Suite 310, Summit, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 918-1969.

James Gardner is licensed to practice in New Jersey (license number 25MA05373600) 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 1386676088.

Contact Information

James Gardner, MD
33 Overlook Rd, Suite 310,
Summit, NJ 07901-3563
(908) 918-1969
(908) 918-1995

Map and Direction




Physician's Profile

Full NameJames Gardner
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience37 Years
Location33 Overlook Rd, Summit, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Gardner attended and graduated from Rutgers New Jersey Medical School in 1987
  NPI Data:
  • NPI Number: 1386676088
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 09/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7315926201
  • Enrollment ID: I20040715000055

Medical Identifiers

Medical identifiers for James Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386676088NPI-NPPES
764314OtherNJMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 25MA05373600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital
Morristown Medical CenterMorristown, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Practice Associates Medical Group58907031771116

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. James Gardner allows following entities to bill medicare on his behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690

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. James 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 AddressPractice Location Address
James Gardner, MD
Po Box 416457,
Boston, MA 02241-6457

Ph: () -
James Gardner, MD
33 Overlook Rd, Suite 310,
Summit, NJ 07901-3563

Ph: (908) 918-1969

Reviews and Comments


Surgery Doctors in Summit, NJ

Dr. David Daniels, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 33 Overlook Rd, Suite 302, Summit, NJ 07901
Phone: 908-598-8222    Fax: 908-598-8222
Kerry Bergman, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 973-971-7185    
Dr. Aaron T Miller, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 33 Overlook Rd, Suite 412, Summit, NJ 07901
Phone: 908-598-0220    Fax: 908-598-0415
Dr. Stancie C. Rhodes, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Springfield Avenue, Suite 3a, Summit, NJ 07901
Phone: 908-202-6942    
Eric Lazar, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 973-971-5595    
Stephen C Hall, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 33 Overlook Rd, Suite 205, Summit, NJ 07901
Phone: 908-522-4500    Fax: 908-522-1222

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.