Bradley Shaw, in Bryant, AR - Medicare Counselor Provider

Bradley Shaw, is a medicare enrolled "Counselor - Professional" provider in Bryant, Arkansas. His current practice location is 3708 Robinwood Cir, Bryant, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 993-5465.

Bradley Shaw is licensed to practice in Arkansas (license number P0002005) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104229871.

Contact Information

	Bradley Shaw,
	3708 Robinwood Cir, Bryant, AR 72022-8374
	(501) 993-5465
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley Shaw
Gender	Male
Speciality	Counselor - Professional
Location	3708 Robinwood Cir, Bryant, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104229871
Provider Enumeration Date: 10/08/2014
Last Update Date: 10/08/2014

Medicare PECOS Information:

PECOS PAC ID: 2860837366
Enrollment ID: I20240223002245

Medical Identifiers

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

Identifier	Type	State	Issuer
1104229871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P0002005 (Arkansas)	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. Bradley Shaw allows following entities to bill medicare on his behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871959874 PECOS PAC ID: 7911802079 Enrollment ID: O20141029001863

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. Bradley Shaw 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
Bradley Shaw, 3708 Robinwood Cir, Bryant, AR 72022-8374 Ph: (501) 993-5465	Bradley Shaw, 3708 Robinwood Cir, Bryant, AR 72022-8374 Ph: (501) 993-5465

Reviews and Comments

Counselor in Bryant, AR

Wendy Logsdon, Counselor Medicare: Accepting Medicare Assignments Practice Location: 3348 Main St Ste 100, Bryant, AR 72022 Phone: 844-514-5183 Fax: 501-507-0889
Jason M Andrews, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3395 Highway 5 N Ste 300, Bryant, AR 72019 Phone: 501-508-2600 Fax: 501-708-2185
Patricia Ann Gann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905
Molly Ann Vanwie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905
Mr. Dustin J. Morrow, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd, Bryant, AR 72022 Phone: 501-303-6108 Fax: 501-399-4043
Chance Mehalic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905

Bradley Shaw, - Medicare Counselor in Bryant, AR