Breanna Gardner, is a
Student In An Organized Health Care Education/training Program based in Mauldin, South Carolina. Breanna Gardner is licensed to practice in * (Not Available) (license number ) and her current practice location is
207 Pinecrest Dr, Mauldin, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 420-8046.
NPI number for Breanna Gardner is 1942195037 and her current mailing address is 207 Pinecrest Dr, Mauldin, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942195037.
Provider's Profile
| Full Name | Breanna Gardner |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 207 Pinecrest Dr, Mauldin, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942195037
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Breanna Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942195037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Breanna Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Breanna Gardner,
207 Pinecrest Dr,
Mauldin, SC 29662-2545
Ph: (864) 420-8046 | Breanna Gardner,
207 Pinecrest Dr,
Mauldin, SC 29662-2545
Ph: (864) 420-8046 |
Reviews and Comments