Brelan Mikal Gardner, FNP - Medicare Nurse Practitioner in Newton, MS

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Brelan Mikal Gardner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Newton, Mississippi. His current practice location is 296 Eastside Dr, Newton, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 228-8985.

Brelan Mikal Gardner is licensed to practice in Mississippi (license number 905732) 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 1972216240.

Contact Information

Brelan Mikal Gardner, FNP
296 Eastside Dr,
Newton, MS 39345-8036
(601) 228-8985
Not Available

Map and Direction




Provider's Profile

Full NameBrelan Mikal Gardner
GenderMale
SpecialityNurse Practitioner - Family
Location296 Eastside Dr, Newton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972216240
  • Provider Enumeration Date: 01/03/2023
  • Last Update Date: 12/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870964737
  • Enrollment ID: I20230201001013

Medical Identifiers

Medical identifiers for Brelan Mikal Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972216240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 905732 (Mississippi)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. Brelan Mikal Gardner allows following entities to bill medicare on his behalf.
Entity NameMedical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609820539
PECOS PAC ID: 9234043712
Enrollment ID: O20031118000855
Entity NameRush Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588625594
PECOS PAC ID: 2567368541
Enrollment ID: O20031210000541
Entity NameLaird Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821046798
PECOS PAC ID: 7214991769
Enrollment ID: O20050201000304
Entity NameKemper Cah, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346546306
PECOS PAC ID: 5991985012
Enrollment ID: O20110622000294
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291

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. Brelan Mikal 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 AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Newton, MS

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: Accepting Medicare Assignments
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: Accepting Medicare Assignments
Practice Location: 9421 Eastside Drive Ext, Newton, MS 39345
Phone: 601-683-2031    Fax: 601-849-1318

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.