Michelle Rae Braddy, MD is a medicare enrolled "Family Medicine" physician in Dieterich, Illinois. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hshs Medical Group Inc and her current practice location is
203 S Main St, Dieterich, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 925-5730.
Michelle Rae Braddy is licensed to practice in Illinois (license number 036120332) 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 1619068061.
Physician's Profile
| Full Name | Michelle Rae Braddy |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 21 Years |
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| Location | 203 S Main St, Dieterich, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Rae Braddy attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2004
NPI Data:
- NPI Number: 1619068061
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597869339
- Enrollment ID: I20080829000033
Medical Identifiers
Medical identifiers for Michelle Rae Braddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619068061 | NPI | - | NPPES |
| 14D0921285 | Other | IL | CLIA ID NUMBER |
| 036120332 | Other | IL | ILLINOIS PHYSICIAN LICENSE |
| 371391171005 | Medicaid | IL | |
| 930280 | Other | IL | HEALTHLINK |
| 2523247 | Other | IL | BLUE CROSS BLUE SHIELD |
| P00790343 | Other | IL | RAILROAD MEDICARE |
| 036120332 | Medicaid | IL | |
| 336082411 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| 371391171005 | Other | IL | MEDICAID RURAL HEALTH |
| 561920 | Other | IL | MEDICARE GROUP PTAN |
| 151351 | Other | IL | HEALTH ALLIANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036120332 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hshs Medical Group Inc | 5092857821 | 225 |
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. Michelle Rae Braddy allows following entities to bill medicare on her behalf.
| Entity Name | Hshs Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275 |
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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. Michelle Rae Braddy 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 |
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Michelle Rae Braddy, MD
1207 Network Centre Dr, Suite 3,
Effingham, IL 62401-4632
Ph: (217) 347-2707 | Michelle Rae Braddy, MD
203 S Main St,
Dieterich, IL 62424-1128
Ph: (217) 925-5730 |
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