| Jacob Gardner, PA-C | |
|
10 Duke Medicine Cir, Durham, NC 27710-1000 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Jacob Gardner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 10 Duke Medicine Cir, Durham, North Carolina |
| 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 |
|---|---|---|---|
| 1013500461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke University Hospital | Durham, NC | Hospital |
| Entity Name | Firsthealth of the Carolinas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548276389 PECOS PAC ID: 8820909377 Enrollment ID: O20031108000016 |
| Entity Name | Duke University Health System, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
| Entity Name | Mcpc-22, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255207593 PECOS PAC ID: 7315338324 Enrollment ID: O20211230001544 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Gardner, PA-C 3501 Antioch Church Rd, Matthews, NC 28104-5499 Ph: (704) 541-8366 | Jacob Gardner, PA-C 10 Duke Medicine Cir, Durham, NC 27710-1000 Ph: (919) 684-8111 |
Amy Tendler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Duke Medicine Cir, Durham, NC 27710 Phone: 919-684-5057 Fax: 919-684-4611 |
Colleen E Prince, RD, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3326 Durham Chapel Hill Blvd Ste 110b, Durham, NC 27707 Phone: 984-219-1562 Fax: 984-219-2366 |
Carolyn Chyu Tashie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Duke Cancer Center 20 Duke Medicine Circle Clinic 3-2, Durham, NC 27710 Phone: 919-684-8111 |
Maribeth Terasa Mandall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Marshall Pickins Clinic, 2100 Erwin Road, Box 3886, Dumc, Durham, NC 27710 Phone: 919-681-1601 |
Christopher Evan Couch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1821 Hillandale Rd Ste 24a, Durham, NC 27705 Phone: 919-383-4355 |
Mrs. Elisabeth Anne Kidd, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-8490 Fax: 919-470-8469 |
Ashley L Fink, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2301 Erwin Road, Durham, NC 27710 Phone: 919-668-6608 |