Mrs Michele Nicole Bradford, LMFT in Jacksonville, FL - Medicare Marriage & Family Therapist Provider

Mrs Michele Nicole Bradford, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Jacksonville, Florida. Her current practice location is 2573 Minosa Cir N, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 705-3400.

Mrs Michele Nicole Bradford is licensed to practice in Florida (license number MT4540) 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 1205184660.

Contact Information

	Mrs Michele Nicole Bradford, LMFT
	2573 Minosa Cir N, Jacksonville, FL 32209-2463
	(904) 705-3400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Michele Nicole Bradford
Gender	Female
Speciality	Marriage & Family Therapist
Location	2573 Minosa Cir N, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205184660
Provider Enumeration Date: 08/16/2012
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7315383510
Enrollment ID: I20240311001740

Medical Identifiers

Medical identifiers for Mrs Michele Nicole Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205184660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MT4540 (Florida)	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. Mrs Michele Nicole Bradford 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: O20210414000053

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. Mrs Michele Nicole Bradford 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
Mrs Michele Nicole Bradford, LMFT 2573 Minosa Cir N, Jacksonville, FL 32209-2463 Ph: (904) 705-3400	Mrs Michele Nicole Bradford, LMFT 2573 Minosa Cir N, Jacksonville, FL 32209-2463 Ph: (904) 705-3400

Reviews and Comments

Marriage & Family Therapist in Jacksonville, FL

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Angelus Martin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd Ste 107, Jacksonville, FL 32218 Phone: 904-683-1425

Mrs Michele Nicole Bradford, LMFT - Medicare Couples Therapy in Jacksonville, FL