Robert Ryan Bradshaw, MD in Newton, MA - Medicare Student in an Organized Health Care Education/Training Program

Robert Ryan Bradshaw, MD - Medicare Student in an Organized Health Care Education/Training Program in Newton, MA

Robert Ryan Bradshaw, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Newton, Massachusetts. His current practice location is 2014 Washington St, Newton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 243-6000.

Robert Ryan Bradshaw is licensed to practice in * (Not Available) (license number ) 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 1215563010.

Contact Information

	Robert Ryan Bradshaw, MD
	2014 Washington St, Newton, MA 02462-1607
	(617) 243-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Robert Ryan Bradshaw
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	2014 Washington St, Newton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215563010
Provider Enumeration Date: 03/13/2020
Last Update Date: 07/21/2021

Medicare PECOS Information:

PECOS PAC ID: 2860891371
Enrollment ID: I20210602002456

Medical Identifiers

Medical identifiers for Robert Ryan Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215563010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	288326 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Robert Ryan Bradshaw 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
Robert Ryan Bradshaw, MD 2014 Washington St, Newton, MA 02462-1607 Ph: () -	Robert Ryan Bradshaw, MD 2014 Washington St, Newton, MA 02462-1607 Ph: (617) 243-6000