Timothy Wayne Bradshaw, in Greensboro, NC - Medicare Clinical Social Worker Provider

Timothy Wayne Bradshaw, is a medicare enrolled "Social Worker - Clinical" provider in Greensboro, North Carolina. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Caldwell Memorial Hospital Inc and his current practice location is 201 N Eugene St, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 676-6840.

Timothy Wayne Bradshaw is licensed to practice in North Carolina (license number C006677) 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 1417271867.

Contact Information

	Timothy Wayne Bradshaw,
	201 N Eugene St, Greensboro, NC 27401-2221
	(336) 676-6840
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Wayne Bradshaw
Gender	Male
Speciality	Clinical Social Worker
Experience	19 Years
Location	201 N Eugene St, Greensboro, North Carolina
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:

Timothy Wayne Bradshaw graduated from medical school in 2006

NPI Data:

NPI Number: 1417271867
Provider Enumeration Date: 03/15/2010
Last Update Date: 04/08/2019

Medicare PECOS Information:

PECOS PAC ID: 5698803922
Enrollment ID: I20100507000058

Medical Identifiers

Medical identifiers for Timothy Wayne Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417271867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C006677 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caldwell Memorial Hospital	Lenoir, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Caldwell Memorial Hospital Inc	5395646970	167

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. Timothy Wayne Bradshaw allows following entities to bill medicare on his behalf.

Entity Name	Caldwell Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355

Entity Name	Monarch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103

Entity Name	Caldwell Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417661976 PECOS PAC ID: 5395646970 Enrollment ID: O20230705003417

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. Timothy Wayne Bradshaw 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
Timothy Wayne Bradshaw, 350 Pee Dee Ave Ste 101, Albemarle, NC 28001-4945 Ph: (704) 986-1500	Timothy Wayne Bradshaw, 201 N Eugene St, Greensboro, NC 27401-2221 Ph: (336) 676-6840

Reviews and Comments

Social Worker in Greensboro, NC

Ms. Yohmina Kalei Kasey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 917 N Elm St, Suite D, Greensboro, NC 27401 Phone: 336-254-0141
Lorenzo T. Hansley, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 612 Pasteur Dr Ste 400, Greensboro, NC 27403 Phone: 336-294-1349
Shauna Jahne Little, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4160 Piedmont Pkwy Ste 107, Greensboro, NC 27410 Phone: 336-931-1800
Janet Cecil, MSW, P-LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 315 E Washington St, Greensboro, NC 27401 Phone: 336-387-6161 Fax: 336-387-9167
Andre Floyd Chambers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7900 Triad Center Dr, Greensboro, NC 27409 Phone: 336-931-1800
Ecaterina Gittard, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Walter Reed Dr, Greensboro, NC 27403 Phone: 336-832-9700
Barbara A Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2005 Boulevard St Ste E, Greensboro, NC 27407 Phone: 910-280-6513

Timothy Wayne Bradshaw, - Medicare Clinical Social Worker in Greensboro, NC