Ashley Rebecca Bradt, DO | |
1105 Sixth St, Traverse City, MI 49684-2345 | |
(231) 935-6100 | |
Not Available |
Full Name | Ashley Rebecca Bradt |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1105 Sixth St, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891215463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 5101025950 (Michigan) | Primary |
Entity Name | Grand Traverse Pathology, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306868427 PECOS PAC ID: 4183798135 Enrollment ID: O20080808000442 |
Mailing Address | Practice Location Address |
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Ashley Rebecca Bradt, DO Po Box 209, Lima, OH 45802-0209 Ph: (866) 942-0836 | Ashley Rebecca Bradt, DO 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-6100 |
Alyson M Booth, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6100 | |
Dr. Philip Lee Perkins, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-935-0499 | |
William A Kanner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6100 Fax: 231-935-7528 | |
Dr. Laura Joan Gottfried, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-935-0499 | |
Dr. John Charles Keep, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-935-6100 | |
Steven Carl Weindorf, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6100 | |
Dr. Kyle Andrew Carr, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-935-0499 |