| Brelan Mikal Gardner, FNP | |
|
296 Eastside Dr, Newton, MS 39345-8036 | |
| (601) 228-8985 | |
| Not Available |
| Full Name | Brelan Mikal Gardner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 296 Eastside Dr, Newton, Mississippi |
| 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 |
|---|---|---|---|
| 1972216240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905732 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Laird Hospital Inc | Union, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kemper Cah, Inc. | 5991985012 | 20 |
| Laird Hospital, Inc. | 7214991769 | 26 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Rush Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
| Entity Name | Laird Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
| Entity Name | Kemper Cah, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Brelan Mikal Gardner, FNP Po Box 608, Philadelphia, MS 39350-0608 Ph: (662) 694-0035 | Brelan Mikal Gardner, FNP 296 Eastside Dr, Newton, MS 39345-8036 Ph: (601) 228-8985 |
Ms. Vanessa Norman, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Northside Dr, Newton, MS 39345 Phone: 601-683-3117 | |
Rhonda P. Davis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 School Street Ext, Newton, MS 39345 Phone: 601-683-3327 Fax: 601-683-3329 | |
Ms. Cynthia Marguerite Schuetz Boyd Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9425 Eastside Dr. Ext Hwy 15 North, Newton, MS 39345 Phone: 601-635-3333 Fax: 601-693-3330 | |
Jason William Roberts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330 | |
Madison Windham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330 | |
Abby Nicole Novak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Eastside Dr, Newton, MS 39345 Phone: 601-228-8985 | |
Meagan Nicole Mcmahan Chaney, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9421 Eastside Drive Ext, Newton, MS 39345 Phone: 601-683-2031 Fax: 601-849-1318 |