Miss Keana Rose Bradley, MHRS is a
Case Manager/care Coordinator based in Fairfield, California. Miss Keana Rose Bradley is licensed to practice in * (Not Available) (license number ) and her current practice location is
1234 Empire St, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 429-4440.
NPI number for Miss Keana Rose Bradley is 1518415140 and her current mailing address is 1234 Empire St, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518415140.
Healthcare Provider's Profile
| Full Name | Miss Keana Rose Bradley |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1234 Empire St, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518415140
- Provider Enumeration Date: 09/12/2016
- Last Update Date: 05/10/2023
Medical Identifiers
Medical identifiers for Miss Keana Rose Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518415140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Miss Keana Rose 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 |
|---|
Miss Keana Rose Bradley, MHRS
1234 Empire St,
Fairfield, CA 94533-5711
Ph: (707) 429-4440 | Miss Keana Rose Bradley, MHRS
1234 Empire St,
Fairfield, CA 94533-5711
Ph: (707) 429-4440 |
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