Dr Bradley R Allen, MD is a medicare enrolled "Emergency Medicine" physician in Newar, Ohio. His current practice location is
1320 West Main Street, Newar, Ohio. You can reach out to his office (for appointments etc.) via phone at
(220) 564-4151.
Dr Bradley R Allen is licensed to practice in Ohio (license number 35074360A) 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 1700893013.
Physician's Profile
Full Name | Dr Bradley R Allen |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1320 West Main Street, Newar, Ohio |
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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: 1700893013
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729000229
- Enrollment ID: I20051227000704
Medical Identifiers
Medical identifiers for Dr Bradley R Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700893013 | NPI | - | NPPES |
2065527 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35074360 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 35074360A (Ohio) | 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 R Allen allows following entities to bill medicare on his behalf.
Entity Name | The Metrohealth System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
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Entity Name | Licking Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
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Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
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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 Bradley R Allen 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 Bradley R Allen, MD 1320 West Main Street, Newark, OH 43055 Ph: (220) 564-4151 | Dr Bradley R Allen, MD 1320 West Main Street, Newar, OH 43055 Ph: (220) 564-4151 |
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