| Mr John Anthony Gardner Ii, | |
|
1112 S Main St Ste 7, Franklin, KY 42134-2322 | |
| (270) 745-7246 | |
| (270) 282-2027 |
| Full Name | Mr John Anthony Gardner Ii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 13 Years |
| Location | 1112 S Main St Ste 7, Franklin, Kentucky |
| 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 |
|---|---|---|---|
| 1770826299 | NPI | - | NPPES |
| 7100538630 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 57.022765 (Ohio) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 51044 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Taylor Regional Hospital | Campbellsville, KY | Hospital |
| The Medical Center At Bowling Green | Bowling green, KY | Hospital |
| T J Health Columbia | Columbia, KY | Hospital |
| Russell County Hospital | Russell springs, KY | Hospital |
| Spring View Hospital | Lebanon, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Pain Associates Pllc | 0941441919 | 156 |
| Entity Name | Interventional Pain Specialists of Bowling Green PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033356274 PECOS PAC ID: 6608931035 Enrollment ID: O20090218000135 |
| Entity Name | Commonwealth Pain Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Anthony Gardner Ii, Po Box 21890, Belfast, ME 04915-4115 Ph: (270) 745-7246 | Mr John Anthony Gardner Ii, 1112 S Main St Ste 7, Franklin, KY 42134-2322 Ph: (270) 745-7246 |