Kelley Bradshaw, MS, RD - Medicare Dietitian in San Leandro, CA

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Kelley Bradshaw, MS, RD is a medicare enrolled "Dietitian, Registered" provider in San Leandro, California. Her current practice location is 13851 E 14th St, Suite 102, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 351-2100.

Kelley Bradshaw is licensed to practice in California (license number 1012906) 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 1477826444.

Contact Information

Kelley Bradshaw, MS, RD
13851 E 14th St, Suite 102,
San Leandro, CA 94578-2631
(510) 351-2100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelley Bradshaw
GenderFemale
SpecialityDietitian, Registered
Location13851 E 14th St, San Leandro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477826444
  • Provider Enumeration Date: 02/21/2012
  • Last Update Date: 02/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8527435460
  • Enrollment ID: I20221104001414

Medical Identifiers

Medical identifiers for Kelley Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477826444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1012906 (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. Kelley Bradshaw allows following entities to bill medicare on her behalf.
Provider NameBrigham & Womens Hospital Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790717650
PECOS PAC ID: 4385554732
Enrollment ID: O20040407000771
Provider NameBrigham & Womens Physicians Organization Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

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. Kelley 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 AddressPractice Location Address
Kelley Bradshaw, MS, RD
2201 West 135th Ave.,
San Leandro, CA 94577-4115

Ph: (510) 483-5036		Kelley Bradshaw, MS, RD
13851 E 14th St, Suite 102,
San Leandro, CA 94578-2631

Ph: (510) 351-2100

Reviews and Comments


Dietitian, Registered in San Leandro, CA

Ms. Dorthy Lim Lee, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Solomon H. Young, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced Street, San Leandro, CA 94577
Phone: 510-454-1000    
Mrs. Isabelita Morales Shafer, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1440 168th Ave, San Leandro, CA 94578
Phone: 510-481-6425    Fax: 510-481-6426
Megan Moore, MS RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Mary Elizabeth Debusman, M.S, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1000 San Leandro Blvd, San Leandro, CA 94577
Phone: 510-618-2068    
Li Tsu Hong,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1440 168th Ave, San Leandro, CA 94578
Phone: 510-481-6319    
Jenalyn Eve Sacramento Delgado, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1888 Carpentier St, San Leandro, CA 94577
Phone: 510-575-5185    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.