Jessica Gardner, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Nevada, Texas. Her current practice location is
8570 Co Rd 589, Nevada, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 355-2484.
Jessica Gardner is licensed to practice in Texas (license number DT85686) 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 1396209425.
Healthcare Provider's Profile
Full Name | Jessica Gardner |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 8570 Co Rd 589, Nevada, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396209425
- Provider Enumeration Date: 01/23/2019
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143568485
- Enrollment ID: I20190213000188
Medical Identifiers
Medical identifiers for Jessica Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396209425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT85686 (Texas) | 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. Jessica Gardner allows following entities to bill medicare on her behalf.
Provider Name | My Nutrition, Llc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1447917422 PECOS PAC ID: 0547780744 Enrollment ID: O20250218002845 |
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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. Jessica 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 |
Jessica Gardner, RD, LD 8570 County Road 589, Nevada, TX 75173-7028 Ph: (936) 355-2484 | Jessica Gardner, RD, LD 8570 Co Rd 589, Nevada, TX 75173 Ph: (936) 355-2484 |
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