Dr Laurence Martin Bradley Jr, MD is a medicare enrolled "Dermatology" physician in Algonquin, Illinois. He went to Howard University College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. His current practice location is
2230 Huntington Dr N, Algonquin, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 603-4146.
Dr Laurence Martin Bradley Jr is licensed to practice in Illinois (license number 036.142867) 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 1639516313.
Physician's Profile
Full Name | Dr Laurence Martin Bradley Jr |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 11 Years |
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Location | 2230 Huntington Dr N, Algonquin, Illinois |
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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. |
Medical Education and Training:
- Dr Laurence Martin Bradley Jr attended and graduated from Howard University College Of Medicine in 2013
NPI Data:
- NPI Number: 1639516313
- Provider Enumeration Date: 06/04/2013
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153692629
- Enrollment ID: I20170801002584
Medical Identifiers
Medical identifiers for Dr Laurence Martin Bradley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639516313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 036.142867 (Illinois) | Secondary |
207N00000X | Dermatology | 036.142867 (Illinois) | 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 Laurence Martin Bradley Jr allows following entities to bill medicare on his behalf.
Entity Name | Legacy Dermatology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053024554 PECOS PAC ID: 1951776434 Enrollment ID: O20230414001319 |
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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 Laurence Martin Bradley Jr 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 Laurence Martin Bradley Jr, MD 2230 Huntington Dr N, Algonquin, IL 60102-4419 Ph: (847) 603-4146 | Dr Laurence Martin Bradley Jr, MD 2230 Huntington Dr N, Algonquin, IL 60102-4419 Ph: (847) 603-4146 |
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