Dr Bascom Kyle Bradshaw, DO, MPH in Pensacola, FL

Dr Bascom Kyle Bradshaw, DO, MPH is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Pensacola, Florida. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2001 and has 23 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Phoebe Physician Group Inc and his current practice location is 2191 E Johnson Ave, Pensacola, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 494-3917.

Dr Bascom Kyle Bradshaw is licensed to practice in North Carolina (license number 2018-01630) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518064583.

Contact Information

	Dr Bascom Kyle Bradshaw, DO, MPH
	2191 E Johnson Ave, Pensacola, FL 32514-6029
	(850) 494-3917
	(850) 494-3960

Map and Direction

Physician's Profile

Full Name	Dr Bascom Kyle Bradshaw
Gender	Male
Speciality	Psychiatry
Experience	23 Years
Location	2191 E Johnson Ave, Pensacola, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Bascom Kyle Bradshaw attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2001

NPI Data:

NPI Number: 1518064583
Provider Enumeration Date: 09/20/2006
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1052632015
Enrollment ID: I20150729009352

Medical Identifiers

Medical identifiers for Dr Bascom Kyle Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518064583	NPI	-	NPPES
1518064583	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	DO.1388 (Alabama)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	02002502A (Indiana)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	73929 (Georgia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2018-01630 (North Carolina)	Primary
2083A0100X	Preventive Medicine - Aerospace Medicine	02002502A (Indiana)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	OS16451 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phoebe Putney Memorial Hospital	Albany, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoebe Physician Group Inc	8426112350	351

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. Dr Bascom Kyle Bradshaw allows following entities to bill medicare on his behalf.

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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. Dr Bascom Kyle Bradshaw 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
Dr Bascom Kyle Bradshaw, DO, MPH Po Box 409075, Atlanta, GA 30384-9075 Ph: (615) 373-7600	Dr Bascom Kyle Bradshaw, DO, MPH 2191 E Johnson Ave, Pensacola, FL 32514-6029 Ph: (850) 494-3917

Reviews and Comments

Psychiatry & Neurology Doctors in Pensacola, FL

Dr. Ethan Mccaleb Gore, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Pensacola, FL 32514 Phone: 850-474-8353 Fax: 850-474-8504
Dr. Aaron Oree Godwin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500
Warren Hardy Scott, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-469-3424
Dr. Jorge M Pelaez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8333 N Davis Hwy, West Florida Medical Center Clinic Pa, Pensacola, FL 32514 Phone: 850-474-8353 Fax: 850-474-8504
Jacobo A. Cruz, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4400 Bayou Blvd, Suite 51, Pensacola, FL 32503 Phone: 850-484-7774 Fax: 850-484-8874
Dr. Praveen Narahari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-595-1400
Dr. Anita Marie Nusbaum, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6425 N. Pensacola Boulevard, Pensacola, FL 32503 Phone: 850-471-7792

Dr Bascom Kyle Bradshaw, DO, MPH - Medicare Psychiatry in Pensacola, FL