Kenneth Edward Gardner, PSYCHOLOGIST in Farmington Hills, MI

Kenneth Edward Gardner, PSYCHOLOGIST is a medicare enrolled "Psychologist - Clinical" provider in Farmington Hills, Michigan. His current practice location is 30665 Northwestern Hwy Ste 255, Farmington Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 802-7713.

Kenneth Edward Gardner is licensed to practice in Michigan (license number 6361007852) 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 1821559576.

Contact Information

	Kenneth Edward Gardner, PSYCHOLOGIST
	30665 Northwestern Hwy Ste 255, Farmington Hills, MI 48334-3144
	(248) 802-7713
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Edward Gardner
Gender	Male
Speciality	Psychologist - Clinical
Location	30665 Northwestern Hwy Ste 255, Farmington Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821559576
Provider Enumeration Date: 03/26/2019
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3173865474
Enrollment ID: I20190508000092

Medical Identifiers

Medical identifiers for Kenneth Edward Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821559576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6361007852 (Michigan)	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. Kenneth Edward Gardner allows following entities to bill medicare on his behalf.

Entity Name	Fair Minded Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295295475 PECOS PAC ID: 1153662432 Enrollment ID: O20190415002063

Entity Name	Pure Psychiatry Of Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311

Entity Name	Harold J Love Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346729811 PECOS PAC ID: 5193076511 Enrollment ID: O20240501003424

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. Kenneth Edward 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
Kenneth Edward Gardner, PSYCHOLOGIST 30665 Northwestern Hwy Ste 255, Farmington Hills, MI 48334-3144 Ph: (248) 802-7713	Kenneth Edward Gardner, PSYCHOLOGIST 30665 Northwestern Hwy Ste 255, Farmington Hills, MI 48334-3144 Ph: (248) 802-7713

Reviews and Comments

Psychologist in Farmington Hills, MI

Ms. Lori Ann Little, L.L.P Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38345 W. Ten Mile Rd., Suite 150, Farmington Hills, MI 48335 Phone: 248-722-2653
Dr. Mitchell Solomon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38345 West Ten Mile Road, Suite 150, Farmington Hills, MI 48335 Phone: 248-478-0422
Christine Sebastian, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334 Phone: 248-382-8984
Jordan Christopher Horan, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 Phone: 248-299-0030
Dr. Patricia Ann Mccluskey, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29887 W 11 Mile Rd, Farmington Hills, MI 48336 Phone: 248-474-4701 Fax: 248-474-1518
Dr. Kathy A Morrow, PH.D.,LP,LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25882 Orchard Lake Rd, Suite L3, Farmington Hills, MI 48336 Phone: 248-471-9644 Fax: 248-471-9655
Mrs. Linda L.s. Knowles, L.L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 32000 Northwestern Hwy Ste 165, Farmington Hills, MI 48334 Phone: 248-320-1196

Kenneth Edward Gardner, PSYCHOLOGIST - Medicare Psychologist in Farmington Hills, MI