Cali J Bradberry, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Boise, Idaho. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dwyer And Harrington, Pllc and her current practice location is
4750 N Five Mile Rd, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 375-0500.
Cali J Bradberry is licensed to practice in Idaho (license number PA-937) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831473198.
Physician's Profile
| Full Name | Cali J Bradberry |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 4750 N Five Mile Rd, Boise, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cali J Bradberry graduated from medical school in 2011
NPI Data:
- NPI Number: 1831473198
- Provider Enumeration Date: 10/05/2011
- Last Update Date: 02/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981870318
- Enrollment ID: I20120105000604
Medical Identifiers
Medical identifiers for Cali J Bradberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831473198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | PA-937 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA-937 (Idaho) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-937 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dwyer And Harrington, Pllc | 4981838711 | 9 |
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. Cali J Bradberry 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 |
|---|
Cali J Bradberry, PA-C
5985 W State St,
Boise, ID 83703-3039
Ph: (208) 853-0071 | Cali J Bradberry, PA-C
4750 N Five Mile Rd,
Boise, ID 83713-2715
Ph: (208) 375-0500 |
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