Bradley Keith Shields, in Florence, MS - Medicare Nurse Practitioner

Bradley Keith Shields, is a medicare enrolled "Nurse Practitioner" in Florence, Mississippi. His current practice location is 128 Earl Clark Dr, Florence, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 891-8465.

Bradley Keith Shields is licensed to practice in Mississippi (license number 903096) 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 1073086005.

Contact Information

	Bradley Keith Shields,
	128 Earl Clark Dr, Florence, MS 39073-6604
	(601) 891-8465
	(601) 891-8468

Map and Direction

Provider's Profile

Full Name	Bradley Keith Shields
Gender	Male
Speciality	Nurse Practitioner
Location	128 Earl Clark Dr, Florence, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073086005
Provider Enumeration Date: 01/02/2019
Last Update Date: 01/02/2019

Medicare PECOS Information:

PECOS PAC ID: 5698196301
Enrollment ID: I20200604003302

Medical Identifiers

Medical identifiers for Bradley Keith Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073086005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	903096 (Mississippi)	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. Bradley Keith Shields allows following entities to bill medicare on his behalf.

Entity Name	South Rankin Family Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629143334 PECOS PAC ID: 2567463862 Enrollment ID: O20070130000340

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. Bradley Keith Shields 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
Bradley Keith Shields, 128 Earl Clark Dr, Florence, MS 39073-6604 Ph: (601) 891-8465	Bradley Keith Shields, 128 Earl Clark Dr, Florence, MS 39073-6604 Ph: (601) 891-8465

Reviews and Comments

Nurse Practitioner Nurses in Florence, MS

Laurie Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 E Main St, Florence, MS 39073 Phone: 601-845-6602 Fax: 601-845-6164
Abbey Ross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Pierce Rd, Florence, MS 39073 Phone: 601-665-5999
Margo Wilson Garrett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 E Main St, Florence, MS 39073 Phone: 601-845-6602 Fax: 601-845-6164
Katelyn Jo Buckley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 171 Oak Hill Dr, Florence, MS 39073 Phone: 601-573-6297
Amy M Hazlewood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 218 E Main St, Florence, MS 39073 Phone: 601-845-6602
Latonya Jaton Mcgowan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1393 Old Pearson Rd, Florence, MS 39073 Phone: 601-665-7983

Bradley Keith Shields, - Medicare Nurse Practitioner in Florence, MS