Eric J Gardner, PSY D - Medicare Psychologist in Gallup, NM

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Eric J Gardner, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Gallup, New Mexico. His current practice location is 516 East Nizhoni Blvd., Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Eric J Gardner is licensed to practice in California (license number 24300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861688269.

Contact Information

Eric J Gardner, PSY D
516 East Nizhoni Blvd.,
Gallup, NM 87301-1337
(505) 722-1000
(505) 722-1396

Map and Direction




Healthcare Provider's Profile

Full NameEric J Gardner
GenderMale
SpecialityPsychologist - Clinical
Location516 East Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861688269
  • Provider Enumeration Date: 09/19/2007
  • Last Update Date: 08/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385819929
  • Enrollment ID: I20190906002896

Medical Identifiers

Medical identifiers for Eric J Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861688269NPI-NPPES
PSB33057OtherCAPSYCH. ASSISTANT NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY24300 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program PSB33057 (California)Secondary
103TC0700XPsychologist - Clinical 24300 (California)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. Eric J Gardner allows following entities to bill medicare on his behalf.
Entity NameRound Valley Indian Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669532750
PECOS PAC ID: 9234128927
Enrollment ID: O20040507001316
Entity NameEhab Yacoub MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071

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. Eric J 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 AddressPractice Location Address
Eric J Gardner, PSY D
P.o. Box 1337,
Gallup, NM 87305-1337

Ph: (505) 722-1000		Eric J Gardner, PSY D
516 East Nizhoni Blvd.,
Gallup, NM 87301-1337

Ph: (505) 722-1000

Reviews and Comments


Psychologist in Gallup, NM

Belinda Cross, MS, NCSP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, Gallup, NM 87301
Phone: 505-721-1828    
Sharna J Sutherin, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1396
Mary Lindenmeyer, LPCC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, P. O. 1318, Gallup, NM 87301
Phone: 505-722-4101    
Dr. Marita Delaney, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2025 E Aztec Ave, Gallup, NM 87301
Phone: 505-863-3828    
Matthew Dennis Jones, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1396
Ms. Phyllis Pine,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, Gallup, NM 87301
Phone: 505-721-1800    
Michael Lee Chlumsky, LPCC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 607 Zecca Dr, Gallup, NM 87301
Phone: 505-722-4015    

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.

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