Kristin Patrice Gardner, ARNP - Medicare Nurse Practitioner in Daytona Beach, FL

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Kristin Patrice Gardner, ARNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Daytona Beach, Florida. Her current practice location is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 425-4000.

Kristin Patrice Gardner is licensed to practice in Florida (license number 11003827) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619512282.

Contact Information

Kristin Patrice Gardner, ARNP
303 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2709
(386) 425-4000
Not Available

Map and Direction




Provider's Profile

Full NameKristin Patrice Gardner
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location303 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619512282
  • Provider Enumeration Date: 11/07/2019
  • Last Update Date: 11/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385069707
  • Enrollment ID: I20200803000790

Medical Identifiers

Medical identifiers for Kristin Patrice Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619512282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 11003827 (Florida)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. Kristin Patrice Gardner allows following entities to bill medicare on her behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443

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. Kristin Patrice 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
Kristin Patrice Gardner, ARNP
1021 Herbert St,
Port Orange, FL 32129-4142

Ph: (386) 316-8731		Kristin Patrice Gardner, ARNP
303 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2709

Ph: (386) 425-4000

Reviews and Comments


Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN
Nurse Practitioner
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Practice Location: 112 Milton Rd, Daytona Beach, FL 32118
Phone: 970-260-0885    
Debra Dowell, APRN
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Medicare: Medicare Enrolled
Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-257-1626    Fax: 866-486-1253
Bruce Harris, ARNP
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Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118
Phone: 386-767-9544    
Cloressa Dizney, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-4542    Fax: 386-425-7705
Lyne E Homeus,
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Medicare: Medicare Enrolled
Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117
Phone: 386-274-0500    
Souad Omri, FNP
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Medicare: Medicare Enrolled
Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117
Phone: 386-615-0900    
Gena Genovese Brennan, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117
Phone: 386-353-7633    Fax: 386-615-4105

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.