Stace Todd Bradshaw, MD in Eden Prairie, MN - Medicare Diagnostic Radiology

Stace Todd Bradshaw, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. He went to Baylor College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Associates Of Albuquerque Pa, Advanced Imaging Llc, American Radiology Consultants Pllc, Guam X-ray, Guam Healthcare Development Incorporated and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Stace Todd Bradshaw is licensed to practice in Texas (license number H9816) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760472138.

Contact Information

	Stace Todd Bradshaw, MD
	11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349
	(952) 595-1301
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Stace Todd Bradshaw
Gender	Male
Speciality	Diagnostic Radiology
Experience	34 Years
Location	11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stace Todd Bradshaw attended and graduated from Baylor College Of Medicine in 1990

NPI Data:

NPI Number: 1760472138
Provider Enumeration Date: 10/26/2005
Last Update Date: 04/09/2021

Medicare PECOS Information:

PECOS PAC ID: 9335183664
Enrollment ID: I20051116000310

Medical Identifiers

Medical identifiers for Stace Todd Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760472138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	M-2194 (Guam)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	H9816 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Presbyterian Hospital	Albuquerque, NM	Hospital
Plains Regional Medical Center	Clovis, NM	Hospital
Presbyterian Santa Fe Medical Center	Santa fe, NM	Hospital
Lincoln County Medical Center	Ruidoso, NM	Hospital
Presbyterian Espanola Hospital	Espanola, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology Associates Of Albuquerque Pa	2860304482	77
Advanced Imaging Llc	2860451648	15
American Radiology Consultants Pllc	6709868409	107
Guam X-ray	8123180742	24
Guam Healthcare Development Incorporated	9234351776	129

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. Stace Todd Bradshaw allows following entities to bill medicare on his behalf.

Entity Name	Southwest Medical Imaging Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538134788 PECOS PAC ID: 4688564586 Enrollment ID: O20040316000716

Entity Name	American Radiology Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669425195 PECOS PAC ID: 6709868409 Enrollment ID: O20070301000082

Entity Name	Radiology Associates Of Albuquerque Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20160803002303

Entity Name	Advanced Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558416974 PECOS PAC ID: 2860451648 Enrollment ID: O20160908001280

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. Stace Todd 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
Stace Todd Bradshaw, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301	Stace Todd Bradshaw, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Stace Todd Bradshaw, MD - Medicare Diagnostic Radiology in Eden Prairie, MN