Jeffrey A Bradley, MD is a medicare enrolled "General Practice" physician in Lithia Springs, Georgia. His current practice location is
870 Crestmark Dr Ste 203, Lithia Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at
(470) 881-8757.
Jeffrey A Bradley is licensed to practice in Georgia (license number 036345) 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 1639270853.
Physician's Profile
Full Name | Jeffrey A Bradley |
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Gender | Male |
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Speciality | General Practice |
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Location | 870 Crestmark Dr Ste 203, Lithia Springs, Georgia |
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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: 1639270853
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 12/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183665953
- Enrollment ID: I20171205001848
Medical Identifiers
Medical identifiers for Jeffrey A Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639270853 | NPI | - | NPPES |
1295769438 | Other | SC | GROUP NPI NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 150598 (South Carolina) | Secondary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 036345 (Georgia) | Secondary |
208D00000X | General Practice | 036345 (Georgia) | 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. Jeffrey A Bradley allows following entities to bill medicare on his behalf.
Entity Name | First Step Recovery Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467826453 PECOS PAC ID: 3375823115 Enrollment ID: O20171205001998 |
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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. Jeffrey A 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 |
Jeffrey A Bradley, MD 145 15th St Ne Apt 1235, Atlanta, GA 30309-3587 Ph: (864) 270-7746 | Jeffrey A Bradley, MD 870 Crestmark Dr Ste 203, Lithia Springs, GA 30122-2665 Ph: (470) 881-8757 |
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