Ms Mary Bradley, CG60735677 is a
Peer Specialist based in Tacoma, Washington. Ms Mary Bradley is licensed to practice in Washington (license number CG60735677) and her current practice location is
2422 96th St S Apt J105, Tacoma, Washington. She can be reached at her office (for appointments etc.) via phone at
(805) 217-5654.
NPI number for Ms Mary Bradley is 1568934420 and her current mailing address is 2422 96th St S Apt J105, Tacoma, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568934420.
Healthcare Provider's Profile
| Full Name | Ms Mary Bradley |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2422 96th St S Apt J105, Tacoma, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568934420
- Provider Enumeration Date: 12/17/2018
- Last Update Date: 07/22/2022
Medical Identifiers
Medical identifiers for Ms Mary Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568934420 | NPI | - | NPPES |
| CG60735677 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | CG60735677 (Washington) | Secondary |
| 175T00000X | Peer Specialist | CG60735677 (Washington) | 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. Ms Mary 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 |
|---|
Ms Mary Bradley, CG60735677
2422 96th St S Apt J105,
Tacoma, WA 98444-1782
Ph: (805) 217-5654 | Ms Mary Bradley, CG60735677
2422 96th St S Apt J105,
Tacoma, WA 98444-1782
Ph: (805) 217-5654 |
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