Dr Michelle Renae Bradley, DO - Medicare Family Practice in Fargo, ND

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Dr Michelle Renae Bradley, DO is a medicare enrolled "Family Medicine" physician in Fargo, North Dakota. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Innovis Health Llc and her current practice location is 4110 51st Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-3100.

Dr Michelle Renae Bradley is licensed to practice in North Dakota (license number 14577) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003015314.

Contact Information

Dr Michelle Renae Bradley, DO
4110 51st Ave S,
Fargo, ND 58104-7776
(701) 364-3100
Not Available

Map and Direction




Physician's Profile

Full NameDr Michelle Renae Bradley
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location4110 51st Ave S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michelle Renae Bradley attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004
  NPI Data:
  • NPI Number: 1003015314
  • Provider Enumeration Date: 07/16/2007
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678619020
  • Enrollment ID: I20170706002896

Medical Identifiers

Medical identifiers for Dr Michelle Renae Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003015314NPI-NPPES
036940100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 52168 (Minnesota)Secondary
207Q00000XFamily Medicine PT14577 (North Dakota)Secondary
207Q00000XFamily Medicine 14577 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia HealthFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155478

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 Michelle Renae Bradley allows following entities to bill medicare on her behalf.
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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 Michelle Renae 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 AddressPractice Location Address
Dr Michelle Renae Bradley, DO
1702 South University Drive,
Fargo, ND 58103-4940

Ph: (701) 364-3100		Dr Michelle Renae Bradley, DO
4110 51st Ave S,
Fargo, ND 58104-7776

Ph: (701) 364-3100

Reviews and Comments


Family Medicine Doctors in Fargo, ND

Mary M. Nybakken, MD
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Practice Location: 5225 23rd Ave S, Fargo, ND 58104
Phone: 701-417-2575    Fax: 701-417-2535
Naomi Schuldt, DNP, APRN, FNP-C
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Practice Location: 2400 32nd Ave S, Fargo, ND 58103
Phone: 701-234-2000    
Randall A Kenninger, MD
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Practice Location: 2400 32nd Ave S, Fargo, ND 58103
Phone: 701-234-8830    Fax: 702-234-8950
Hadeer Saleh Eltahan, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 737 Broadway N, Fargo, ND 58102
Phone: 701-234-6076    Fax: 701-234-7230
Megan Harrington, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-2000    
Andrea Leigh Nellermoe Kaster, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-2000    

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.