Dr Brandi J Treadway, LMFT, MPHIL is a medicare enrolled "Marriage & Family Therapist" provider in Ripley, Tennessee. Her current practice location is
629 S Washington St, Ripley, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 612-3385.
Dr Brandi J Treadway is licensed to practice in Tennessee (license number 1684) 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 1952679912.
Healthcare Provider's Profile
| Full Name | Dr Brandi J Treadway |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 629 S Washington St, Ripley, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952679912
- Provider Enumeration Date: 12/06/2011
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739547274
- Enrollment ID: I20240223002276
Medical Identifiers
Medical identifiers for Dr Brandi J Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952679912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 1684 (Tennessee) | 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. Dr Brandi J Treadway allows following entities to bill medicare on her behalf.
| Entity Name | Brightside Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801355482
PECOS PAC ID: 6608262464
Enrollment ID: O20230404000547 |
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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. Dr Brandi J Treadway 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 |
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Dr Brandi J Treadway, LMFT, MPHIL
629 S Washington St,
Ripley, TN 38063-2044
Ph: (731) 324-3115 | Dr Brandi J Treadway, LMFT, MPHIL
629 S Washington St,
Ripley, TN 38063-2044
Ph: (731) 612-3385 |
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