Dr Cole Delworth Gardner, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Montgomery, Ohio. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Tanner Memorial Clinic and his current practice location is
10500 Montgomery Rd, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 865-1111.
Dr Cole Delworth Gardner is licensed to practice in Utah (license number 13689443-0501) 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 1063090561.
Healthcare Provider's Profile
| Full Name | Dr Cole Delworth Gardner |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 5 Years |
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| Location | 10500 Montgomery Rd, Montgomery, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cole Delworth Gardner graduated from medical school in 2021
NPI Data:
- NPI Number: 1063090561
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769824721
- Enrollment ID: I20240522004255
Medical Identifiers
Medical identifiers for Dr Cole Delworth Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063090561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 13689443-0501 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tanner Memorial Clinic | 4284547985 | 231 |
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. Dr Cole Delworth Gardner allows following entities to bill medicare on his behalf.
| Provider Name | Tanner Memorial Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447239355
PECOS PAC ID: 4284547985
Enrollment ID: O20031110000132 |
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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. Dr Cole Delworth 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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Dr Cole Delworth Gardner, DPM
1846 N 350 E,
Centerville, UT 84014-3117
Ph: (385) 335-1183 | Dr Cole Delworth Gardner, DPM
10500 Montgomery Rd,
Montgomery, OH 45242-4402
Ph: (513) 865-1111 |
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