Jordan Gardner, is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Brownsburg, Indiana. Her current practice location is
590 Pit Rd, Brownsburg, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 456-1100.
Jordan Gardner is licensed to practice in Indiana (license number 71015547A) 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 1780360230.
Physician's Profile
Full Name | Jordan Gardner |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 590 Pit Rd, Brownsburg, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780360230
- Provider Enumeration Date: 06/27/2023
- Last Update Date: 05/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214477744
- Enrollment ID: I20240910004479
Medical Identifiers
Medical identifiers for Jordan Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780360230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 202325711 (North Carolina) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 71015547A (Indiana) | 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. Jordan Gardner allows following entities to bill medicare on her behalf.
Entity Name | St Vincent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
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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. Jordan 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 |
Jordan Gardner, 590 Pit Rd, Brownsburg, IN 46112-7830 Ph: () - | Jordan Gardner, 590 Pit Rd, Brownsburg, IN 46112-7830 Ph: (317) 456-1100 |
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