Dr Brad Lee Bauer, MD is a medicare enrolled "Urology" physician in Eden, North Carolina. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Blue Ridge Medical Management Corporation and his current practice location is
618 S Pierce St, Eden, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 635-6804.
Dr Brad Lee Bauer is licensed to practice in North Carolina (license number 2013-01822) 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 1457352684.
Physician's Profile
| Full Name | Dr Brad Lee Bauer |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 30 Years |
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| Location | 618 S Pierce St, Eden, North Carolina |
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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 Brad Lee Bauer attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1994
NPI Data:
- NPI Number: 1457352684
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 02/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 8123073079
- Enrollment ID: I20180118000692
Medical Identifiers
Medical identifiers for Dr Brad Lee Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457352684 | NPI | - | NPPES |
| 300276690 | Other | AL | UNITED HEALTH CARE |
| 51526132 | Other | AL | BLUECROSS/BLUE SHIELD |
| 009986035 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 22601 (Alabama) | Secondary |
| 208800000X | Urology | 37437-020 (Wisconsin) | Secondary |
| 208800000X | Urology | 2013-01822 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Blue Ridge Medical Management Corporation | 9739099441 | 280 |
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 Brad Lee Bauer allows following entities to bill medicare on his behalf.
| Entity Name | Blue Ridge Medical Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336 |
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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 Brad Lee Bauer 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 Brad Lee Bauer, MD
Po Box 488,
Eden, NC 27289-0488
Ph: (336) 627-0362 | Dr Brad Lee Bauer, MD
618 S Pierce St,
Eden, NC 27288-5863
Ph: (336) 635-6804 |
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