Jeremy Kyle Gardner, MS, LMFT in Enumclaw, WA

Jeremy Kyle Gardner, MS, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Enumclaw, Washington. His current practice location is 1356 Cole St, Enumclaw, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 802-6492.

Jeremy Kyle Gardner is licensed to practice in Washington (license number LF60101296) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942522966.

Contact Information

	Jeremy Kyle Gardner, MS, LMFT
	1356 Cole St, Enumclaw, WA 98022-2633
	(360) 802-6492
	(360) 802-5114

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Kyle Gardner
Gender	Male
Speciality	Counselor - Mental Health
Location	1356 Cole St, Enumclaw, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942522966
Provider Enumeration Date: 02/17/2010
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 1254782675
Enrollment ID: I20240110003321

Medical Identifiers

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

Identifier	Type	State	Issuer
1942522966	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LF60101296 (Washington)	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. Jeremy Kyle Gardner allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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. Jeremy Kyle 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
Jeremy Kyle Gardner, MS, LMFT 1356 Cole St, Enumclaw, WA 98022-2633 Ph: (360) 802-6492	Jeremy Kyle Gardner, MS, LMFT 1356 Cole St, Enumclaw, WA 98022-2633 Ph: (360) 802-6492

Reviews and Comments

Counselor in Enumclaw, WA

Joan D. Green Ferguson, MS ED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 38122 307th Ave Se, Enumclaw, WA 98022 Phone: 206-331-6608
Gera Mcguire, M.A., N.C.C., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1174 Myrtle Ave, Enumclaw, WA 98022 Phone: 360-469-4179
Ms. Anna Joan Lockard, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 Stevenson Ave, Suite 202, Enumclaw, WA 98022 Phone: 360-802-0110
Robin Strichertz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1335 Cole St, Enumclaw, WA 98022 Phone: 253-833-7444
Jennifer L Meyer, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1356 Cole St, Enumclaw, WA 98022 Phone: 360-825-4586 Fax: 360-802-5114
Mr. James L Stapp, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5405 Fax: 360-886-1393
Sarah Tanner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1356 Cole St, Enumclaw, WA 98022 Phone: 360-615-5656

Jeremy Kyle Gardner, MS, LMFT - Medicare Counselor in Enumclaw, WA