Dr Ellis Benjamin Gardner, MD FAAP - Medicare Pediatric Medicine in Canaan, NH

Dr Ellis Benjamin Gardner, MD FAAP is a medicare enrolled "Pediatrics" physician in Canaan, New Hampshire. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Mascoma Community Healthcare Inc and his current practice location is 18 Roberts Rd, Canaan, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 934-1464.

Dr Ellis Benjamin Gardner is licensed to practice in New Hampshire (license number 10330) 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 1932130630.

Contact Information

Dr Ellis Benjamin Gardner, MD FAAP
18 Roberts Rd,
Canaan, NH 03741-7644
(603) 934-1464
Not Available



Physician's Profile

Full NameDr Ellis Benjamin Gardner
GenderMale
SpecialityPediatric Medicine
Experience28 Years
Location18 Roberts Rd, Canaan, New Hampshire
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ellis Benjamin Gardner graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1932130630
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 09/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163706227
  • Enrollment ID: I20170309000863

Medical Identifiers

Medical identifiers for Dr Ellis Benjamin Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932130630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 037734 (Connecticut)Secondary
208000000XPediatrics 10330 (New Hampshire)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Hitchcock Memorial HospitalLebanon, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mascoma Community Healthcare Inc24667365253

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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 Ellis Benjamin Gardner allows following entities to bill medicare on his behalf.
Entity NameHealthfirst Family Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134180367
PECOS PAC ID: 4183688211
Enrollment ID: O20041117000908

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Entity NameMascoma Community Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497298087
PECOS PAC ID: 2466736525
Enrollment ID: O20170309000707

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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 Ellis Benjamin 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
Dr Ellis Benjamin Gardner, MD FAAP
43 Caleb Dyer Ln, Mascoma Community Healthcare, Inc.,
Enfield, NH 03748-3551

Ph: (802) 673-5340
Dr Ellis Benjamin Gardner, MD FAAP
18 Roberts Rd,
Canaan, NH 03741-7644

Ph: (603) 934-1464

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Pediatrics Doctors in Canaan, NH


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