George Glenn Gardner, PA-C is a medicare enrolled "Physician Assistant" in Adrian, Missouri. His current practice location is
102 E. Main St, Adrian, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 297-2640.
George Glenn Gardner is licensed to practice in Missouri (license number 2011020458) 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 1386885648.
Provider's Profile
| Full Name | George Glenn Gardner |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 102 E. Main St, Adrian, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386885648
- Provider Enumeration Date: 03/17/2009
- Last Update Date: 08/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 0042367211
- Enrollment ID: I20150701001089
Medical Identifiers
Medical identifiers for George Glenn Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386885648 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1706 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 2011020458 (Missouri) | 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. George Glenn 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 |
George Glenn Gardner, PA-C Po Box 370, Butler, MO 64730-0370 Ph: (660) 200-7033 | George Glenn Gardner, PA-C 102 E. Main St, Adrian, MO 64720-9207 Ph: (816) 297-2640 |
Reviews and Comments