Rolanda Bradshaw, MS in Riverside, CA - Medicare Marriage & Family Therapist Provider

Rolanda Bradshaw, MS is a medicare enrolled "Marriage & Family Therapist" provider in Riverside, California. Her current practice location is 769 W Blaine St, Suite B, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 358-4705.

Rolanda Bradshaw is licensed to practice in California (license number 42433) 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 1427199041.

Contact Information

	Rolanda Bradshaw, MS
	769 W Blaine St, Suite B, Riverside, CA 92507-3970
	(951) 358-4705
	(951) 358-4719

Map and Direction

Healthcare Provider's Profile

Full Name	Rolanda Bradshaw
Gender	Female
Speciality	Marriage & Family Therapist
Location	769 W Blaine St, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427199041
Provider Enumeration Date: 02/08/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4486004488
Enrollment ID: I20240102004005

Medical Identifiers

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

Identifier	Type	State	Issuer
1427199041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	42433 (California)	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. Rolanda Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Rolanda 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
Rolanda Bradshaw, MS 769 W Blaine St, Suite B, Riverside, CA 92507-3970 Ph: (951) 358-4705	Rolanda Bradshaw, MS 769 W Blaine St, Suite B, Riverside, CA 92507-3970 Ph: (951) 358-4705

Reviews and Comments

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Rolanda Bradshaw, MS - Medicare Couples Therapy in Riverside, CA