| Jenna Gloria Gardner, CAA | |
|
10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 | |
| (260) 436-7875 | |
| Not Available |
| Full Name | Jenna Gloria Gardner |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 2 Years |
| Location | 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003560277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA2000022 (District Of Columbia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 75000170A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Washington Hospital Center | Washington, DC | Hospital |
| Physicians' Medical Center Llc | New albany, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Anesthesiology Llc | 1052678034 | 456 |
| Associated Anesthesiologists Of Fort Wayne, Pc | 2264412444 | 102 |
| Entity Name | Medstar Medical Group Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Gloria Gardner, CAA Po Box 843603, Dallas, TX 75284-3603 Ph: (972) 233-1999 | Jenna Gloria Gardner, CAA 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 Ph: (260) 436-7875 |
Mark D Schamber, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Emily Allan, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Sebah Abdulaziz, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Brandon S Rentfrow, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
John Wesley Farver, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Ryan Shane Tighe, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 |