Charles F Brady, DO is a medicare enrolled "Family Medicine" physician in Estancia, New Mexico. His current practice location is
903 C North 5th Street, Estancia, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 384-2777.
Charles F Brady is licensed to practice in Texas (license number J8928) 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 1447248380.
Physician's Profile
Full Name | Charles F Brady |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 903 C North 5th Street, Estancia, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447248380
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 06/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 8628107273
- Enrollment ID: I20100520000445
Medical Identifiers
Medical identifiers for Charles F Brady such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447248380 | NPI | - | NPPES |
00400M | Other | NM | BLUE CROSS BLUE SHIELD OF NEW MEXICO |
000E5032 | Medicaid | NM | |
119038103 | Medicaid | TX | |
36224 | Other | NM | PRESBYTERIAN HEALTH PLAN |
PROVP11371 | Other | NM | MOLINA HEALTHCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | J8928 (Texas) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | J8928 (Texas) | Secondary |
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. Charles F Brady allows following entities to bill medicare on his behalf.
Entity Name | Presbyterian Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
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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. Charles F Brady 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 |
Charles F Brady, DO 229 Nogal Pl, El Paso, TX 79915-4516 Ph: () - | Charles F Brady, DO 903 C North 5th Street, Estancia, NM 87016 Ph: (505) 384-2777 |
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