Mrs Nicole Elizabeth Gardiner, RDN in Port Orchard, WA - Medicare Dietitian, Registered Provider

Mrs Nicole Elizabeth Gardiner, RDN is a medicare enrolled "Dietitian, Registered" provider in Port Orchard, Washington. Her current practice location is 320 S Kitsap Blvd, Port Orchard, Washington. You can reach out to her office (for appointments etc.) via phone at (562) 336-6942.

Mrs Nicole Elizabeth Gardiner is licensed to practice in Washington (license number 61365012) 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 1962129551.

Contact Information

	Mrs Nicole Elizabeth Gardiner, RDN
	320 S Kitsap Blvd, Port Orchard, WA 98366-3778
	(562) 336-6942
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Elizabeth Gardiner
Gender	Female
Speciality	Dietitian, Registered
Location	320 S Kitsap Blvd, Port Orchard, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962129551
Provider Enumeration Date: 10/24/2022
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 2961851688
Enrollment ID: I20231206004033

Medical Identifiers

Medical identifiers for Mrs Nicole Elizabeth Gardiner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962129551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	61365012 (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. Mrs Nicole Elizabeth Gardiner allows following entities to bill medicare on her behalf.

Provider Name	Peninsula Community Health Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982654182 PECOS PAC ID: 9436044781 Enrollment ID: O20040217000362

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. Mrs Nicole Elizabeth Gardiner 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
Mrs Nicole Elizabeth Gardiner, RDN 1870 Se Cashmere St Unit B, Port Orchard, WA 98367-7849 Ph: (562) 336-6942	Mrs Nicole Elizabeth Gardiner, RDN 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 Ph: (562) 336-6942

Reviews and Comments

Dietitian, Registered in Port Orchard, WA

Cynthia Denise Huskey, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 776 Sw Odell St, Port Orchard, WA 98367 Phone: 360-874-0788
Michaela Phillips, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 237 Tremont Pl W, Port Orchard, WA 98366 Phone: 518-698-7112
Dr. Lisa Charissima Daniels, PH.D., R.D.N. Dietitian Medicare: Medicare Enrolled Practice Location: 3903 Lieseke Ln Sw, Port Orchard, WA 98367 Phone: 703-895-0061
Ms. Brianna Marie Chandler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4710
Ms. Nova Riemer, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4668 Fax: 360-895-4365
Bobbi Kay Philips, DI Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4710 Fax: 360-895-4453
Timothy P Heran, RDN, CGD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4668

Mrs Nicole Elizabeth Gardiner, RDN - Medicare Dietitian in Port Orchard, WA