Dianne M Bradley, LCSW in Elizabethtown, KY - Medicare Social Worker Provider

Dianne M Bradley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Elizabethtown, Kentucky. Her current practice location is 100 Par Ln Ste 102, Elizabethtown, Kentucky. You can reach out to her office (for appointments etc.) via phone at (423) 817-8818.

Dianne M Bradley is licensed to practice in Kentucky (license number 256419) 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 1750666152.

Contact Information

	Dianne M Bradley, LCSW
	100 Par Ln Ste 102, Elizabethtown, KY 42701-9059
	(423) 817-8818
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dianne M Bradley
Gender	Female
Speciality	Social Worker - Clinical
Location	100 Par Ln Ste 102, Elizabethtown, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750666152
Provider Enumeration Date: 10/17/2011
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5991925372
Enrollment ID: I20230307001711

Medical Identifiers

Medical identifiers for Dianne M Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750666152	NPI	-	NPPES
7100822370	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904008413 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	5837 (Tennessee)	Secondary
1041C0700X	Social Worker - Clinical	LC50081103 (District Of Columbia)	Secondary
1041C0700X	Social Worker - Clinical	256419 (Kentucky)	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. Dianne M Bradley allows following entities to bill medicare on her behalf.

Entity Name	Unbound Life Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194456962 PECOS PAC ID: 5193198448 Enrollment ID: O20230307001621

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. Dianne M Bradley 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
Dianne M Bradley, LCSW 121 Lavenia Ln, Magnolia, KY 42757-7823 Ph: (423) 817-8818	Dianne M Bradley, LCSW 100 Par Ln Ste 102, Elizabethtown, KY 42701-9059 Ph: (423) 817-8818

Reviews and Comments

Social Worker in Elizabethtown, KY

Jessica M Cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1311 N Dixie Hwy, Elizabethtown, KY 42701 Phone: 270-769-1304 Fax: 270-234-8028
Kayela Bennett, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605
Dawn Terrigino, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2000 Ring Rd, Elizabethtown, KY 42701 Phone: 270-506-2730 Fax: 270-900-0704
Debra Ann Owens, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1311 N Dixie Hwy, Elizabethtown, KY 42701 Phone: 270-765-2605 Fax: 270-234-8572
Margaret Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Westport Rd Ste 103, Elizabethtown, KY 42701 Phone: 270-766-1397 Fax: 270-735-9848
Ashley Marie Stuck, MSSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 N Dixie Hwy, Ste 6, Elizabethtown, KY 42701 Phone: 270-766-1397 Fax: 270-735-9848
Rachael Goff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Diecks Dr, Elizabethtown, KY 42701 Phone: 270-982-1244

Dianne M Bradley, LCSW - Medicare Clinical Social Worker in Elizabethtown, KY