Kendra S Gardner, NP - Medicare Nurse Practitioner in Pascagoula, MS

Kendra S Gardner, NP is a medicare enrolled "Nurse Practitioner - Family" in Pascagoula, Mississippi. Her current practice location is 3702 Jefferson St, Pascagoula, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 769-1166.

Kendra S Gardner is licensed to practice in Mississippi (license number 902266) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134628985.

Contact Information

Kendra S Gardner, NP
3702 Jefferson St,
Pascagoula, MS 39563
(228) 769-1166
Not Available



Provider's Profile

Full NameKendra S Gardner
GenderFemale
SpecialityNurse Practitioner - Family
Location3702 Jefferson St, Pascagoula, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134628985
  • Provider Enumeration Date: 02/07/2018
  • Last Update Date: 12/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4284998782
  • Enrollment ID: I20180509002336

Medical Identifiers

Medical identifiers for Kendra S Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134628985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 902266 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 902266 (Mississippi)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. Kendra S Gardner allows following entities to bill medicare on her behalf.
Entity NameFamily Care Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174279301
PECOS PAC ID: 2365829793
Enrollment ID: O20220524001557

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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. Kendra S 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
Kendra S Gardner, NP
3702 Jefferson Ave,
Moss Point, MS 39563-6218

Ph: (228) 769-1166
Kendra S Gardner, NP
3702 Jefferson St,
Pascagoula, MS 39563

Ph: (228) 769-1166

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Nurse Practitioner Nurses in Pascagoula, MS

Mrs. Leslie Estes Shavers, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2210 Denny Ave, Pascagoula, MS 39567
Phone: 228-372-6043    
William Wenstrom, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3615 Hospital St, Pascagoula, MS 39581
Phone: 228-230-2663    Fax: 228-546-3257
Mrs. Gina Marie Guillotte, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5251    Fax: 228-809-5255
Jennifer Hurley,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2809n Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    
Mrs. Ashley N Hilsabeck, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2819 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-3466    Fax: 228-762-6349
Mrs. Laura Michele Schepens, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4211 Hospital St, Pascagoula, MS 39581
Phone: 228-769-9797    Fax: 228-769-9779

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