Dr Scott Donald Gardner, MD is a medicare enrolled "Ophthalmology" physician in Fayetteville, Georgia. He went to University Of Oklahoma College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Consultants Of Atlanta, Pc and his current practice location is
340 Brandywine Blvd, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 719-7950.
Dr Scott Donald Gardner is licensed to practice in Georgia (license number 075189) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457613655.
Physician's Profile
| Full Name | Dr Scott Donald Gardner |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 12 Years |
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| Location | 340 Brandywine Blvd, Fayetteville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Scott Donald Gardner attended and graduated from University Of Oklahoma College Of Medicine in 2012
NPI Data:
- NPI Number: 1457613655
- Provider Enumeration Date: 06/13/2012
- Last Update Date: 03/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971800020
- Enrollment ID: I20160405000603
Medical Identifiers
Medical identifiers for Dr Scott Donald Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457613655 | NPI | - | NPPES |
| 202I183334 | Other | GA | MEDICARE PTAN |
| 003175035A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 075189 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Consultants Of Atlanta, Pc | 8426031733 | 29 |
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. Dr Scott Donald Gardner allows following entities to bill medicare on his behalf.
| Entity Name | Eye Consultants Of Atlanta, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770679094
PECOS PAC ID: 8426031733
Enrollment ID: O20040609000195 |
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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. Dr Scott Donald 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 |
|---|
Dr Scott Donald Gardner, MD
340 Brandywine Blvd,
Fayetteville, GA 30214-1562
Ph: (770) 719-7950 | Dr Scott Donald Gardner, MD
340 Brandywine Blvd,
Fayetteville, GA 30214-1562
Ph: (770) 719-7950 |
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