Tara Gardner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Prospect, Kentucky. Her current practice location is
9019 Geneva Cir, Prospect, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 564-0793.
Tara Gardner is licensed to practice in Kentucky (license number 3010026) 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 1770948507.
Provider's Profile
| Full Name | Tara Gardner |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 9019 Geneva Cir, Prospect, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770948507
- Provider Enumeration Date: 12/21/2015
- Last Update Date: 01/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 2466758388
- Enrollment ID: I20160302001848
Medical Identifiers
Medical identifiers for Tara Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770948507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 3010026 (Kentucky) | 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. Tara Gardner allows following entities to bill medicare on her behalf.
| Entity Name | Universal Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164696282
PECOS PAC ID: 9830268341
Enrollment ID: O20080522000569 |
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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. Tara 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 |
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Tara Gardner, CRNA
9019 Geneva Cir,
Prospect, KY 40059-8583
Ph: (270) 564-0793 | Tara Gardner, CRNA
9019 Geneva Cir,
Prospect, KY 40059-8583
Ph: (270) 564-0793 |
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