Brian M Bradley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Anaconda, Montana. His current practice location is
401 W Pennsylvania Ave, Anaconda, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 563-8528.
Brian M Bradley is licensed to practice in Montana (license number RN27323) 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 1881610616.
Physician's Profile
| Full Name | Brian M Bradley |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 401 W Pennsylvania Ave, Anaconda, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881610616
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 02/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587637780
- Enrollment ID: I20040816001403
Medical Identifiers
Medical identifiers for Brian M Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881610616 | NPI | - | NPPES |
| 1881610616 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 27323 (Montana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN27323 (Montana) | 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. Brian M Bradley allows following entities to bill medicare on his behalf.
| Entity Name | Big Horn Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891713533
PECOS PAC ID: 5092612796
Enrollment ID: O20031218000807 |
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| Entity Name | Butte Pain And Anesthesia Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205869468
PECOS PAC ID: 9133012735
Enrollment ID: O20040206000325 |
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| Entity Name | St Johns Lutheran Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952312050
PECOS PAC ID: 1557255676
Enrollment ID: O20040210000931 |
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| Entity Name | St Johns Lutheran Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1952312050
PECOS PAC ID: 1557255676
Enrollment ID: O20120405000136 |
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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. Brian M Bradley 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 |
|---|
Brian M Bradley, CRNA
401 W Pennsylvania Ave,
Anaconda, MT 59711-1999
Ph: (406) 563-8528 | Brian M Bradley, CRNA
401 W Pennsylvania Ave,
Anaconda, MT 59711
Ph: (406) 563-8528 |
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