Mr Donald Glyn Gardner Ii, - Medicare Nurse Practitioner in Haughton, LA

  1. Home
  2. Nurse Practitioner
  3. LA
  4. Haughton
Mr Donald Glyn Gardner Ii, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Haughton, Louisiana. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and his current practice location is 324 Blue Fox Cir, Haughton, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 401-6258.

Mr Donald Glyn Gardner Ii is licensed to practice in Louisiana (license number 214187) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578183208.

Contact Information

Mr Donald Glyn Gardner Ii,
324 Blue Fox Cir,
Haughton, LA 71037-7707
(318) 401-6258
Not Available

Map and Direction




Provider's Profile

Full NameMr Donald Glyn Gardner Ii
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location324 Blue Fox Cir, Haughton, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Donald Glyn Gardner Ii graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1578183208
  • Provider Enumeration Date: 04/22/2020
  • Last Update Date: 08/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749609766
  • Enrollment ID: I20200924001660

Medical Identifiers

Medical identifiers for Mr Donald Glyn Gardner Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578183208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 214187 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice4082902721529

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. Mr Donald Glyn Gardner Ii allows following entities to bill medicare on his behalf.
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307
Entity NameUniversity Health Shreveport, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619443611
PECOS PAC ID: 7416207196
Enrollment ID: O20181109000875

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. Mr Donald Glyn Gardner Ii 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
Mr Donald Glyn Gardner Ii,
324 Blue Fox Cir,
Haughton, LA 71037-7707

Ph: (318) 401-6258		Mr Donald Glyn Gardner Ii,
324 Blue Fox Cir,
Haughton, LA 71037-7707

Ph: (318) 401-6258

Reviews and Comments


Nurse Practitioner Nurses in Haughton, LA

Cassanda Howell Maxwell, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Highway 80, Haughton, LA 71037
Phone: 318-949-0539    Fax: 318-949-0759
Shondreika Tenae Davis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 316 Wood Spgs, Haughton, LA 71037
Phone: 318-730-3888    

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.