| Dr Lars Benjamin Gardner, DO | |
|
5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | |
| (919) 785-3400 | |
| Not Available |
| Full Name | Dr Lars Benjamin Gardner |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 11 Years |
| Location | 5838 Six Forks Rd, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477862969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 125056507 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wakemed Home Health | Raleigh, NC | Home health agency |
| Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
| Wakemed, Cary Hospital | Cary, NC | Hospital |
| Rex Hospital | Raleigh, NC | Hospital |
| Wayne Memorial Hospital | Goldsboro, NC | Hospital |
| Johnston Health | Smithfield, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proactive Therapy Of North Carolina Inc | 6305753120 | 557 |
| Raleigh Neurosurgical Clinic Inc | 1759315500 | 52 |
| Entity Name | Raleigh Neurosurgical Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598702490 PECOS PAC ID: 1759315500 Enrollment ID: O20050923000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lars Benjamin Gardner, DO 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 Ph: (919) 785-3400 | Dr Lars Benjamin Gardner, DO 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 Ph: (919) 785-3400 |
Samuel K St Clair, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607 Phone: 919-784-1410 | |
Dr. Sivakumar Jaikumar, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607 Phone: 919-784-1410 | |
Dr. Brian David Sindelar, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-954-3000 | |
Kimberly Livingston, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 5838 Six Forks Rd Ste 100, Raleigh, NC 27609 Phone: 919-785-3400 Fax: 919-783-7778 | |
Dr. Robert Lacin, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609 Phone: 919-785-3400 Fax: 919-783-7778 | |
Robert F Dallapiazza, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Six Forks Rd Ste 100, Raleigh, NC 27609 Phone: 919-785-3400 Fax: 919-783-7778 |