Dr Macken'z Smith Bradford, AUD,CCC-A is a
Audiologist based in Petal, Mississippi. Dr Macken'z Smith Bradford is licensed to practice in Mississippi (license number A-4729) and her current practice location is
849 Highway 11 Ste B, Petal, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 545-2323.
NPI number for Dr Macken'z Smith Bradford is 1477371433 and her current mailing address is 58 May Apple Ave, Hattiesburg, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477371433.
Healthcare Provider's Profile
Full Name | Dr Macken'z Smith Bradford |
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Gender | Female |
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Speciality | Audiologist |
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Location | 849 Highway 11 Ste B, Petal, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477371433
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 10/14/2024
Medical Identifiers
Medical identifiers for Dr Macken'z Smith Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477371433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | A-4729 (Mississippi) | Primary |
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 Macken'z Smith Bradford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Macken'z Smith Bradford, AUD,CCC-A 58 May Apple Ave, Hattiesburg, MS 39402-7522 Ph: () - | Dr Macken'z Smith Bradford, AUD,CCC-A 849 Highway 11 Ste B, Petal, MS 39465-2037 Ph: (601) 545-2323 |
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