Bradley Alan Tait, MD - Medicare Emergency Medicine in Fort Drum, NY

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Bradley Alan Tait, MD is a medicare enrolled "Emergency Medicine" physician in Fort Drum, New York. His current practice location is Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, New York. You can reach out to his office (for appointments etc.) via phone at (315) 772-2778.

Bradley Alan Tait is licensed to practice in Georgia (license number 10772) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770046997.

Contact Information

Bradley Alan Tait, MD
Usa Meddac, 11050 Mount Belvedere Blvd,
Fort Drum, NY 13602-0000
(315) 772-2778
Not Available

Map and Direction




Physician's Profile

Full NameBradley Alan Tait
GenderMale
SpecialityEmergency Medicine
LocationUsa Meddac, Fort Drum, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770046997
  • Provider Enumeration Date: 04/14/2019
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022347541
  • Enrollment ID: I20220818001682

Medical Identifiers

Medical identifiers for Bradley Alan Tait such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770046997NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 317171 (New York)Secondary
207P00000XEmergency Medicine 10772 (Georgia)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. Bradley Alan Tait allows following entities to bill medicare on his behalf.
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameGouverneur Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087
Entity NameMassena Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972604460
PECOS PAC ID: 1456781491
Enrollment ID: O20200515000493
Entity NamePhysicians Medical Associates New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073386421
PECOS PAC ID: 7618310368
Enrollment ID: O20240209000066

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. Bradley Alan Tait 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
Bradley Alan Tait, MD
Usa Meddac, 11050 Mount Belvedere Blvd,
Fort Drum, NY 13602-0000

Ph: (315) 772-2778		Bradley Alan Tait, MD
Usa Meddac, 11050 Mount Belvedere Blvd,
Fort Drum, NY 13602-0000

Ph: (315) 772-2778

Reviews and Comments


Emergency Medicine Doctors in Fort Drum, NY

Dr. Isaac P Mills, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-2778    
Dr. Jin Pyun, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10506 2nd St, Fort Drum, NY 13602
Phone: 315-772-8443    
Dr. Soham Parikh, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-2778    
Spencer Kelley Heggers, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-5505    
Dr. Andrew Jerome Kosmowski, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Mt Belvedere Blvd, Usa/meddac/credentials, Fort Drum, NY 13602
Phone: 315-772-4025    Fax: 315-772-9498
Dr. Mcdaniel Holloway, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11050 Belevedere Blvd, Attn Jill Goodwin, Fort Drum, NY 13602
Phone: 469-524-1614    

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.