Atalie M Bradshaw, FNP-C in American Fork, UT

Atalie M Bradshaw, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in American Fork, Utah. Her current practice location is 1175 E 50 S Ste 171, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 354-8225.

Atalie M Bradshaw is licensed to practice in Utah (license number 10215609-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962148072.

Contact Information

	Atalie M Bradshaw, FNP-C
	1175 E 50 S Ste 171, American Fork, UT 84003-2845
	(801) 354-8225
	(801) 418-0941

Map and Direction

Provider's Profile

Full Name	Atalie M Bradshaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1175 E 50 S Ste 171, American Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962148072
Provider Enumeration Date: 05/11/2022
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0345621231
Enrollment ID: I20220725000951

Medical Identifiers

Medical identifiers for Atalie M Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962148072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10215609-4405 (Utah)	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. Atalie M Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Atalie M 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
Atalie M Bradshaw, FNP-C 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225	Atalie M Bradshaw, FNP-C 1175 E 50 S Ste 171, American Fork, UT 84003-2845 Ph: (801) 354-8225

Reviews and Comments

Nurse Practitioner Nurses in American Fork, UT

Aaron Ezekiel Wilkerson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 N 1100 E, American Fork, UT 84003 Phone: 801-747-2800
Andrew Olesen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 922 Nob Hill Ave, American Fork, UT 84003 Phone: 801-471-0951
Sandra Burkinshaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1248 E 90 N, Suite 300, American Fork, UT 84003 Phone: 801-756-9635
Sarah Prentice, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 N 1100 E, American Fork, UT 84003 Phone: 801-855-3841
Joseph Woodruff Palmer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1175 E 50 S Ste 171, American Fork, UT 84003 Phone: 801-772-0698 Fax: 801-772-0705
Mr. Orrin Blake Hansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 E 50 S Ste 241, American Fork, UT 84003 Phone: 801-492-5999 Fax: 801-418-0897
Hayley Alece Jolley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1248 E 90 N Ste 103, American Fork, UT 84003 Phone: 801-852-9560

Atalie M Bradshaw, FNP-C - Medicare Nurse Practitioner in American Fork, UT