Teresa R Bradley, LCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. Her current practice location is
8401 Harcourt Rd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 338-4600.
Teresa R Bradley is licensed to practice in Indiana (license number 34006341A) 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 1306113642.
Healthcare Provider's Profile
Full Name | Teresa R Bradley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8401 Harcourt Rd, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306113642
- Provider Enumeration Date: 11/30/2011
- Last Update Date: 10/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012184781
- Enrollment ID: I20120120000139
Medical Identifiers
Medical identifiers for Teresa R Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306113642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001383A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34006341A (Indiana) | 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. Teresa R Bradley allows following entities to bill medicare on her behalf.
Entity Name | Indiana University Health Bloomington Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871519074 PECOS PAC ID: 6709799851 Enrollment ID: O20040305000288 |
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Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
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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. Teresa R 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 |
Teresa R Bradley, LCSW, LCAC 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Teresa R Bradley, LCSW, LCAC 8401 Harcourt Rd, Indianapolis, IN 46260-2036 Ph: (317) 338-4600 |
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