| Dr Mark L Gardner, MD | |
|
475 N Forbes St, Lakeport, CA 95453-4725 | |
| (707) 263-6346 | |
| (707) 263-5327 |
| Full Name | Dr Mark L Gardner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 475 N Forbes St, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811921174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME0065785 (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G73337 (California) | Primary |
| Entity Name | Ukiah Adventist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark L Gardner, MD 475 N Forbes St, Lakeport, CA 95453-4725 Ph: (707) 263-6346 | Dr Mark L Gardner, MD 475 N Forbes St, Lakeport, CA 95453-4725 Ph: (707) 263-6346 |
Bradley Trent Clair, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5196 Hill Rd E, Ste 202, Lakeport, CA 95453 Phone: 707-263-1777 Fax: 707-263-8137 |
Dr. Charles Joseph Seage, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-472-4596 Fax: 707-462-7078 |
Dr. Diane Joan Pege, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5117 Fax: 707-262-5094 |
Anne E Tait, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5150 Hill Rd E Ste C, Lakeport, CA 95453 Phone: 707-263-3520 Fax: 707-263-3570 |
Ms. Terri L Turner, DO Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Court, Lakeport, CA 95453 Phone: 707-263-8383 Fax: 707-263-5019 |
Dr. John Mathew Schweifler, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5150 Hill Rd E Ste B, Lakeport, CA 95453 Phone: 707-263-7082 |
Dr. Fareed Ramzi Asfour, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 628-600-3589 |