Elicia Bradley, is a
Case Manager/care Coordinator based in Wasilla, Alaska. Elicia Bradley is licensed to practice in * (Not Available) (license number ) and her current practice location is
7010 E Bogard Rd, Wasilla, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 746-4748.
NPI number for Elicia Bradley is 1336829365 and her current mailing address is Po Box 876741, Wasilla, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336829365.
Healthcare Provider's Profile
| Full Name | Elicia Bradley |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 7010 E Bogard Rd, Wasilla, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336829365
- Provider Enumeration Date: 07/24/2023
- Last Update Date: 07/24/2023
Medical Identifiers
Medical identifiers for Elicia Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336829365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Elicia Bradley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elicia Bradley,
Po Box 876741,
Wasilla, AK 99687-6741
Ph: () - | Elicia Bradley,
7010 E Bogard Rd,
Wasilla, AK 99654-4711
Ph: (907) 746-4748 |
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