Timothy L. Gardner, Dpm,pc is a
Podiatrist - Foot & Ankle Surgery based in Middlesboro, Kentucky. Timothy L. Gardner, Dpm,pc is licensed to practice in Kentucky (license number 30924) and their current practice location is
123 N 19th St, Middlesboro, Kentucky. It can be reached at their office (for appointments etc.) via phone at
(606) 248-2739.
NPI number for Timothy L. Gardner, Dpm,pc is 1225220379 and their current mailing address is 10810 Parkside Dr Ste 202, Knoxville, Tennessee. Timothy L. Gardner, Dpm,pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225220379.
Healthcare Provider's Profile
| Full Name | Timothy L. Gardner, Dpm,pc |
|---|
| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 123 N 19th St, Middlesboro, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225220379
- Provider Enumeration Date: 08/13/2007
- Last Update Date: 10/17/2011
Medical Identifiers
Medical identifiers for Timothy L. Gardner, Dpm,pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225220379 | NPI | - | NPPES |
| 3351921 | Medicaid | TN | |
| 80002017 | Medicaid | KY | |
| 0191729 | Other | TN | BCBS |
| 000000053556 | Other | KY | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 30924 (Kentucky) | 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. Timothy L. Gardner, Dpm,pc 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 |
|---|
Timothy L. Gardner, Dpm,pc
10810 Parkside Dr Ste 202,
Knoxville, TN 37934-1981
Ph: (865) 218-7474 | Timothy L. Gardner, Dpm,pc
123 N 19th St,
Middlesboro, KY 40965-2865
Ph: (606) 248-2739 |
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