Miss Keri Gardner, MD MPH in Park City, UT - Medicare Emergency Medicine

Miss Keri Gardner, MD MPH is a medicare enrolled "Emergency Medicine" physician in Park City, Utah. Her current practice location is 900 Round Valley Dr, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 658-7000.

Miss Keri Gardner is licensed to practice in Utah (license number 10726682-1205) 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 1811099203.

Contact Information

	Miss Keri Gardner, MD MPH
	900 Round Valley Dr, Park City, UT 84060-7552
	(435) 658-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Miss Keri Gardner
Gender	Female
Speciality	Emergency Medicine
Location	900 Round Valley Dr, Park City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811099203
Provider Enumeration Date: 09/05/2006
Last Update Date: 05/23/2023

Medicare PECOS Information:

PECOS PAC ID: 4284534934
Enrollment ID: I20040110000223

Medical Identifiers

Medical identifiers for Miss Keri Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811099203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A068395 (California)	Secondary
207P00000X	Emergency Medicine	10726682-1205 (Utah)	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. Miss Keri Gardner allows following entities to bill medicare on her behalf.

Entity Name	Nes Western Group A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487125019 PECOS PAC ID: 4587902952 Enrollment ID: O20190208002821

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. Miss Keri 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
Miss Keri Gardner, MD MPH Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () -	Miss Keri Gardner, MD MPH 900 Round Valley Dr, Park City, UT 84060-7552 Ph: (435) 658-7000

Reviews and Comments

Emergency Medicine Doctors in Park City, UT

Lisa M Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Snow Creek Dr, Park City, UT 84060 Phone: 435-655-0055 Fax: 435-655-8979
Dr. Michael Andrew Rogowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1750 Sidewinder Dr, Park City, UT 84060 Phone: 435-649-7640
Austin Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7500
David Rick Sutherland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-659-7000
Dr. Mohammad M. Dbeisi I, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 801-442-1702
Jaron Ann Santelli, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000
Geoffrey Matthew Crockett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000

Miss Keri Gardner, MD MPH - Medicare Emergency Medicine in Park City, UT