Laquisha Bradley, in Buffalo, NY - Medicare Counselor Provider

Laquisha Bradley, is a medicare enrolled "Counselor - Mental Health" provider in Buffalo, New York. Her current practice location is 1500 Broadway St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 249-5166.

Laquisha Bradley is licensed to practice in * (Not Available) (license number ) 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 1538513130.

Contact Information

	Laquisha Bradley,
	1500 Broadway St, Buffalo, NY 14212-1845
	(716) 249-5166
	(716) 855-4687

Map and Direction

Healthcare Provider's Profile

Full Name	Laquisha Bradley
Gender	Female
Speciality	Counselor - Mental Health
Location	1500 Broadway St, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538513130
Provider Enumeration Date: 04/20/2016
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3678923901
Enrollment ID: I20231228001007

Medical Identifiers

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

Identifier	Type	State	Issuer
1538513130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Laquisha Bradley allows following entities to bill medicare on her behalf.

Entity Name	Mid-erie Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225095201 PECOS PAC ID: 5496707945 Enrollment ID: O20050214000337

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. Laquisha Bradley 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
Laquisha Bradley, 1526 Walden Ave, Cheektowaga, NY 14225-4965 Ph: (716) 895-6700	Laquisha Bradley, 1500 Broadway St, Buffalo, NY 14212-1845 Ph: (716) 249-5166

Reviews and Comments

Counselor in Buffalo, NY

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Bonnie Parkot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Bailey Ave, Buffalo, NY 14215 Phone: 716-831-2700
Monica Marion Schaefer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 699 Hertel Ave Ste 350, Buffalo, NY 14207 Phone: 716-831-1977

Laquisha Bradley, - Medicare Counselor in Buffalo, NY