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

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 Name	Eric J Gardner
Gender	Male
Speciality	Psychologist - Clinical
Location	516 East Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1861688269	NPI	-	NPPES
PSB33057	Other	CA	PSYCH. ASSISTANT NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY24300 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	PSB33057 (California)	Secondary
103TC0700X	Psychologist - 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 Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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 Address	Practice 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: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828
Matthew Dennis Jones, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1396
Dr. Mary S Loescher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800
Ms. Phyllis Pine, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800

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