Dr Jennifer W Bradford, PHD is a medicare enrolled "Psychologist" provider in Dallas, Texas. Her current practice location is
8140 Walnut Hall Lane, Suite 320, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 863-2232.
Dr Jennifer W Bradford is licensed to practice in Texas (license number 36341) 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 1306199245.
Healthcare Provider's Profile
| Full Name | Dr Jennifer W Bradford |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 8140 Walnut Hall Lane, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1306199245
- Provider Enumeration Date: 10/16/2012
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294015863
- Enrollment ID: I20161219000327
Medical Identifiers
Medical identifiers for Dr Jennifer W Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306199245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 17483 (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 36341 (Texas) | Primary |
| 103T00000X | Psychologist | 35S100461900 (New Jersey) | Secondary |
| 103T00000X | Psychologist | 17357 (New York) | Secondary |
| 103TC1900X | Psychologist - Counseling | 21637 (California) | Secondary |
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 Jennifer W Bradford 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 |
|---|
Dr Jennifer W Bradford, PHD
6723 Sondra Drive,
Dallas, TX 75214-3406
Ph: (214) 507-1516 | Dr Jennifer W Bradford, PHD
8140 Walnut Hall Lane, Suite 320,
Dallas, TX 75231
Ph: (972) 863-2232 |
Reviews and Comments