Dr Lisa Ann Whitty Bradley, MD in Munster, IN

Dr Lisa Ann Whitty Bradley, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Munster, Indiana. Her current practice location is 7905 Calumet Ave, Munster, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 836-7506.

Dr Lisa Ann Whitty Bradley is licensed to practice in Indiana (license number 01079522A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801808662.

Contact Information

	Dr Lisa Ann Whitty Bradley, MD
	7905 Calumet Ave, Munster, IN 46321-2549
	(219) 836-7506
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lisa Ann Whitty Bradley
Gender	Female
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	7905 Calumet Ave, Munster, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801808662
Provider Enumeration Date: 08/12/2006
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 4284639980
Enrollment ID: I20081212000581

Medical Identifiers

Medical identifiers for Dr Lisa Ann Whitty Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801808662	NPI	-	NPPES
0361102441	Medicaid	IL
7215166	Other	IL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	01079522B (Indiana)	Secondary
208600000X	Surgery	01079522A (Indiana)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	01079522A (Indiana)	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 Lisa Ann Whitty Bradley allows following entities to bill medicare on her behalf.

Entity Name	Md @ Home Illinois, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568758415 PECOS PAC ID: 7810167830 Enrollment ID: O20110831000340

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 Lisa Ann Whitty Bradley 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 Lisa Ann Whitty Bradley, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Dr Lisa Ann Whitty Bradley, MD 7905 Calumet Ave, Munster, IN 46321-2549 Ph: (219) 836-7506

Reviews and Comments

Surgery Doctors in Munster, IN

Raquel Elisa Redondo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9800 Fax: 219-924-8831
Dr. Devendra Desai, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842
Kayla Marie Kralovec, NP Surgery Medicare: Medicare Enrolled Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9852 Fax: 219-836-7593
Dr. Teoman R Demir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899
Dr. Creighton M Rawlings, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7905 Calumet Ave, Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842
Dr. Russell W Pellar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899
Dr. Anne Therese Dempsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr., Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899

Dr Lisa Ann Whitty Bradley, MD - Medicare Surgery in Munster, IN