Charles Bear Bradley, PMHNP-BC - Medicare Nurse Practitioner in Mesa, AZ

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Charles Bear Bradley, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. His current practice location is 2204 S Dobson Rd Ste 102, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 230-7373.

Charles Bear Bradley is licensed to practice in Arizona (license number 272793) 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 1982347852.

Contact Information

Charles Bear Bradley, PMHNP-BC
2204 S Dobson Rd Ste 102,
Mesa, AZ 85202-6457
(602) 230-7373
Not Available

Map and Direction




Provider's Profile

Full NameCharles Bear Bradley
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2204 S Dobson Rd Ste 102, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982347852
  • Provider Enumeration Date: 04/18/2022
  • Last Update Date: 11/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507248176
  • Enrollment ID: I20220728001677

Medical Identifiers

Medical identifiers for Charles Bear Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982347852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 272793 (Arizona)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. Charles Bear Bradley allows following entities to bill medicare on his behalf.
Entity NameDenova Collaborative Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609300854
PECOS PAC ID: 2466437736
Enrollment ID: O20040621001542
Entity NameMind 247 Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902472467
PECOS PAC ID: 6406253541
Enrollment ID: O20210916001566

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. Charles Bear Bradley 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 AddressPractice Location Address
Charles Bear Bradley, PMHNP-BC
3101 N Central Ave Ste 550,
Phoenix, AZ 85012-2635

Ph: (602) 230-7373		Charles Bear Bradley, PMHNP-BC
2204 S Dobson Rd Ste 102,
Mesa, AZ 85202-6457

Ph: (602) 230-7373

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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