Jeffrey Thomas Gardner Ii, in Snellville, GA

Jeffrey Thomas Gardner Ii, is a medicare enrolled "Dermatology" physician in Snellville, Georgia. His current practice location is 2383 Pate St N, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 972-4845.

Jeffrey Thomas Gardner Ii is licensed to practice in Georgia (license number 101335) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366901324.

Contact Information

	Jeffrey Thomas Gardner Ii,
	2383 Pate St N, Snellville, GA 30078-3250
	(770) 972-4845
	(770) 972-0358

Map and Direction

Physician's Profile

Full Name	Jeffrey Thomas Gardner Ii
Gender	Male
Speciality	Dermatology
Location	2383 Pate St N, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366901324
Provider Enumeration Date: 03/18/2019
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8426388455
Enrollment ID: I20240110002890

Medical Identifiers

Medical identifiers for Jeffrey Thomas Gardner Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366901324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	4306 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	101335 (Georgia)	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. Jeffrey Thomas Gardner Ii allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Jeffrey Thomas Gardner Ii 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
Jeffrey Thomas Gardner Ii, 2383 Pate St N, Snellville, GA 30078-3250 Ph: (770) 972-4845	Jeffrey Thomas Gardner Ii, 2383 Pate St N, Snellville, GA 30078-3250 Ph: (770) 972-4845

Reviews and Comments

Dermatology Doctors in Snellville, GA

Kirk D Saddler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358
Mrs. Sion Ward Jasmine, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2383 Pate St N, Snellville, GA 30078 Phone: 770-972-4845
Joel S Shavin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358
Maria Paz Henkels, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St N, Snellville, GA 30078 Phone: 770-972-4845
Dr. Jessica J. Mercer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358
Jonathan S Weiss, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2383 Pate St, Snellville, GA 30078 Phone: 770-972-4845 Fax: 770-972-0358

Jeffrey Thomas Gardner Ii, - Medicare Dermatology in Snellville, GA