Tonya Annette Bradshaw, LPC in Desoto, TX - Medicare Counselor Provider

Tonya Annette Bradshaw, LPC is a medicare enrolled "Counselor - Professional" provider in Desoto, Texas. Her current practice location is 1116 Stone Ridge Ln, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 822-6619.

Tonya Annette Bradshaw is licensed to practice in Texas (license number 85257) 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 1245924851.

Contact Information

	Tonya Annette Bradshaw, LPC
	1116 Stone Ridge Ln, Desoto, TX 75115-2852
	(972) 822-6619
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tonya Annette Bradshaw
Gender	Female
Speciality	Counselor - Professional
Location	1116 Stone Ridge Ln, Desoto, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245924851
Provider Enumeration Date: 06/06/2023
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1052760782
Enrollment ID: I20231207000078

Medical Identifiers

Medical identifiers for Tonya Annette Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245924851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	85257 (* (Not Available))	Secondary
101YP2500X	Counselor - Professional	85257 (Texas)	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. Tonya Annette Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Entity Name	Deep Eddy Psychotherapy Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745

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. Tonya Annette Bradshaw 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
Tonya Annette Bradshaw, LPC 1116 Stone Ridge Ln, Desoto, TX 75115-2852 Ph: (972) 822-6619	Tonya Annette Bradshaw, LPC 1116 Stone Ridge Ln, Desoto, TX 75115-2852 Ph: (972) 822-6619

Reviews and Comments

Counselor in Desoto, TX

Julia Floyd Jones, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 N Hampton Rd, Suite - 185, Desoto, TX 75115 Phone: 972-223-8900 Fax: 972-223-8972
Mrs. Michelle Bailey Muckelroy, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1636 N Hampton Rd, Desoto, TX 75115 Phone: 281-773-2897
Mrs. Lisa E Golightly, L P C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 Tanglerose Ct, Desoto, TX 75115 Phone: 972-365-5614
Felicia Joy Golston, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1229 E Pleasant Run Rd Ste 205, Desoto, TX 75115 Phone: 469-518-6034
Ms. Herlonda Dotson, LPC, CCM Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Candelila Drive, Desoto, TX 75115 Phone: 972-322-1604
Ms. Rhea Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1636 N Hampton Rd, Suite 101, Desoto, TX 75115 Phone: 469-844-1737
Dr. Gregory Howard Kimble, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Dalton Road Suite C, Desoto, TX 75115 Phone: 214-415-8268

Tonya Annette Bradshaw, LPC - Medicare Counselor in Desoto, TX