Larry Miles Bradley, LCSW in Saint Anthony, ID - Medicare Clinical Social Worker Provider

Larry Miles Bradley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Anthony, Idaho. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Upper Valley Community Health Services Inc and his current practice location is 335 E Main St Ste 1, Saint Anthony, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 356-4900.

Larry Miles Bradley is licensed to practice in Idaho (license number LCSW 30350) 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 1891139432.

Contact Information

	Larry Miles Bradley, LCSW
	335 E Main St Ste 1, Saint Anthony, ID 83445-1546
	(208) 356-4900
	(208) 624-4030

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Miles Bradley
Gender	Male
Speciality	Clinical Social Worker
Experience	18 Years
Location	335 E Main St Ste 1, Saint Anthony, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larry Miles Bradley graduated from medical school in 2006

NPI Data:

NPI Number: 1891139432
Provider Enumeration Date: 04/25/2013
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1153686209
Enrollment ID: I20180521002199

Medical Identifiers

Medical identifiers for Larry Miles Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891139432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW 30350 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Upper Valley Community Health Services Inc	4385725282	17

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. Larry Miles Bradley allows following entities to bill medicare on his behalf.

Entity Name	Upper Valley Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972792489 PECOS PAC ID: 4385725282 Enrollment ID: O20120611000120

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. Larry Miles 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
Larry Miles Bradley, LCSW Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900	Larry Miles Bradley, LCSW 335 E Main St Ste 1, Saint Anthony, ID 83445-1546 Ph: (208) 356-4900

Reviews and Comments

Social Worker in Saint Anthony, ID

Mindy Jensen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030
Beth Winegar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 357 N 1587 E, Saint Anthony, ID 83445 Phone: 208-709-0167
Erin Michelle Pullman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030
Amy Irene Ohs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030
Spencer Emery Webb, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 3, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030
Leif Holbrook Sorensen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030

Larry Miles Bradley, LCSW - Medicare Clinical Social Worker in Saint Anthony, ID