Dr Bradley Richard Bosma, DC is a medicare enrolled "Chiropractor" provider in Wrightstown, Wisconsin. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Chiropractic. His current practice location is
202 Plum Rd. Ste A, Ste 4, Wrightstown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 532-6450.
Dr Bradley Richard Bosma is licensed to practice in Wisconsin (license number 3807-012) 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 1366449696.
Healthcare Provider's Profile
| Full Name | Dr Bradley Richard Bosma |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 23 Years |
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| Location | 202 Plum Rd. Ste A, Wrightstown, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bradley Richard Bosma graduated from medical school in 2001
NPI Data:
- NPI Number: 1366449696
- Provider Enumeration Date: 07/01/2005
- Last Update Date: 05/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 3375433279
- Enrollment ID: I20040322000672
Medical Identifiers
Medical identifiers for Dr Bradley Richard Bosma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366449696 | NPI | - | NPPES |
| 389-36600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3807-012 (Wisconsin) | 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. Dr Bradley Richard Bosma allows following entities to bill medicare on his behalf.
| Provider Name | Bosma Chiropractic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790903110
PECOS PAC ID: 4385534270
Enrollment ID: O20040316000664 |
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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 Bradley Richard Bosma 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 |
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Dr Bradley Richard Bosma, DC
202 Plum Rd. Ste A,
Wrightstown, WI 54180-1253
Ph: (920) 532-6450 | Dr Bradley Richard Bosma, DC
202 Plum Rd. Ste A, Ste 4,
Wrightstown, WI 54180-1253
Ph: (920) 532-6450 |
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