Dr Bradley Canada Diner, MD - Medicare Psychiatry & Neurology in Little Rock, AR

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Dr Bradley Canada Diner, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Little Rock, Arkansas. His current practice location is 4 Executive Center Ct, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 448-0060.

Dr Bradley Canada Diner is licensed to practice in Arkansas (license number C6817) 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 1194793398.

Contact Information

Dr Bradley Canada Diner, MD
4 Executive Center Ct,
Little Rock, AR 72211-4487
(501) 448-0060
(501) 448-0066

Map and Direction




Physician's Profile

Full NameDr Bradley Canada Diner
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location4 Executive Center Ct, Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194793398
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 03/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6901887488
  • Enrollment ID: I20101217000218

Medical Identifiers

Medical identifiers for Dr Bradley Canada Diner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194793398NPI-NPPES
117612001MedicaidAR
53985OtherARBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry C6817 (Arkansas)Primary

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 Bradley Canada Diner allows following entities to bill medicare on his behalf.
Entity NameArkansas Psychiatric Clinic, Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205804481
PECOS PAC ID: 9931180411
Enrollment ID: O20040528001271
Entity NameBaptist Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992046692
PECOS PAC ID: 0648177949
Enrollment ID: O20141003000135
Entity NameArkansas Psychiatric Clinic Clinical Research Trials, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548661200
PECOS PAC ID: 0345566238
Enrollment ID: O20150312001445
Entity NameNatural State Practice Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750945176
PECOS PAC ID: 7719218478
Enrollment ID: O20191010000146

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 Bradley Canada Diner 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 AddressPractice Location Address
Dr Bradley Canada Diner, MD
4 Executive Center Ct,
Little Rock, AR 72211-4487

Ph: (501) 448-0060		Dr Bradley Canada Diner, MD
4 Executive Center Ct,
Little Rock, AR 72211-4487

Ph: (501) 448-0060

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.