Shalesse Gardner, NP in Compton, CA - Medicare Nurse Practitioner

Shalesse Gardner, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Compton, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mellow Medical Inc A Professional Corporation and her current practice location is 121 S Long Beach Blvd, Compton, California. You can reach out to her office (for appointments etc.) via phone at (310) 627-5800.

Shalesse Gardner is licensed to practice in California (license number 95015664) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750045712.

Contact Information

	Shalesse Gardner, NP
	121 S Long Beach Blvd, Compton, CA 90221-3423
	(310) 627-5800
	Not Available

Map and Direction

Provider's Profile

Full Name	Shalesse Gardner
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	121 S Long Beach Blvd, Compton, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shalesse Gardner graduated from nursing school in 2019

NPI Data:

NPI Number: 1750045712
Provider Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 3870983364
Enrollment ID: I20211123002063

Medical Identifiers

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

Identifier	Type	State	Issuer
1750045712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95015664 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mellow Medical Inc A Professional Corporation	3375767403	35

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. Shalesse Gardner allows following entities to bill medicare on her behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

Entity Name	The Roads Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508278359 PECOS PAC ID: 2961722558 Enrollment ID: O20150521002128

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. Shalesse 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
Shalesse Gardner, NP 1925 W Stockwell St, Compton, CA 90222-1600 Ph: () -	Shalesse Gardner, NP 121 S Long Beach Blvd, Compton, CA 90221-3423 Ph: (310) 627-5800

Reviews and Comments

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Jeanette Monique Kidd, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1112 N Santa Fe Ave, Compton, CA 90221 Phone: 310-638-1100 Fax: 310-638-0008
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Shalesse Gardner, NP - Medicare Nurse Practitioner in Compton, CA