Samantha Gardner, CPNP-PC is a
Nurse Practitioner - Pediatrics based in Comanche, Oklahoma. Samantha Gardner is licensed to practice in Oklahoma (license number 109994) and her current practice location is
513 Hillery Rd, Suite C, Comanche, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 439-2000.
NPI number for Samantha Gardner is 1053772954 and her current mailing address is 513 Hillery Rd, Suite C, Comanche, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053772954.
Provider's Profile
| Full Name | Samantha Gardner |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 513 Hillery Rd, Comanche, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053772954
- Provider Enumeration Date: 03/19/2016
- Last Update Date: 03/19/2016
Medical Identifiers
Medical identifiers for Samantha Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053772954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | 109994 (Oklahoma) | 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. Samantha Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samantha Gardner, CPNP-PC 513 Hillery Rd, Suite C, Comanche, OK 73529-1200 Ph: (580) 439-2000 | Samantha Gardner, CPNP-PC 513 Hillery Rd, Suite C, Comanche, OK 73529-1200 Ph: (580) 439-2000 |
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