Dr Benjamin Daniel Bradford, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Stateline, Nevada. He went to Loma Linda University School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Martin E. Salm, M.d., Ltd. and his current practice location is
276 Kingsbury Grade # 101, Stateline, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 588-5000.
Dr Benjamin Daniel Bradford is licensed to practice in Nevada (license number 22619) 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 1629336128.
Physician's Profile
| Full Name | Dr Benjamin Daniel Bradford |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 13 Years |
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| Location | 276 Kingsbury Grade # 101, Stateline, Nevada |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Benjamin Daniel Bradford attended and graduated from Loma Linda University School Of Medicine in 2012
NPI Data:
- NPI Number: 1629336128
- Provider Enumeration Date: 05/03/2012
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719264829
- Enrollment ID: I20230321002643
Medical Identifiers
Medical identifiers for Dr Benjamin Daniel Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629336128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 22619 (Nevada) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | A126409 (California) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 286986 (New York) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 22619 (Nevada) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 22619 (Nevada) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 22619 (Nevada) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Martin E. Salm, M.d., Ltd. | 0941219620 | 3 |
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 Benjamin Daniel Bradford allows following entities to bill medicare on his behalf.
| Entity Name | Martin E. Salm, M.d., Ltd. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063595924
PECOS PAC ID: 0941219620
Enrollment ID: O20060406000693 |
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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. Dr Benjamin Daniel Bradford 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 |
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Dr Benjamin Daniel Bradford, MD
Po Box 5910,
Stateline, NV 89449-5910
Ph: (775) 588-5000 | Dr Benjamin Daniel Bradford, MD
276 Kingsbury Grade # 101,
Stateline, NV 89449-9804
Ph: (775) 588-5000 |
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