Delesa Gabrielle Bradley, APRN in Tyler, TX - Medicare Nurse Practitioner

Delesa Gabrielle Bradley, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tyler, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Street Health Of Texas Pllc, Qv Urgent Care Tx Pllc and her current practice location is 2115 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 907-7002.

Delesa Gabrielle Bradley is licensed to practice in Texas (license number AP142151) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114576881.

Contact Information

	Delesa Gabrielle Bradley, APRN
	2115 S Broadway Ave, Tyler, TX 75701-4214
	(903) 907-7002
	Not Available

Map and Direction

Provider's Profile

Full Name	Delesa Gabrielle Bradley
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2115 S Broadway Ave, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Delesa Gabrielle Bradley graduated from nursing school in 2019

NPI Data:

NPI Number: 1114576881
Provider Enumeration Date: 09/05/2019
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 0244561439
Enrollment ID: I20191021000965

Medical Identifiers

Medical identifiers for Delesa Gabrielle Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114576881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP142151 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP142151 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oak Street Health Of Texas Pllc	2163843038	77
Qv Urgent Care Tx Pllc	5395176267	33

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. Delesa Gabrielle Bradley allows following entities to bill medicare on her behalf.

Entity Name	Qv Urgent Care Tx Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568098887 PECOS PAC ID: 5395176267 Enrollment ID: O20200508000781

Entity Name	Oak Street Health Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497387419 PECOS PAC ID: 2163843038 Enrollment ID: O20200601001767

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. Delesa Gabrielle 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 Address	Practice Location Address
Delesa Gabrielle Bradley, APRN 1602 S Jackson St, Jacksonville, TX 75766-3028 Ph: (430) 205-4150	Delesa Gabrielle Bradley, APRN 2115 S Broadway Ave, Tyler, TX 75701-4214 Ph: (903) 907-7002

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Delesa Gabrielle Bradley, APRN - Medicare Nurse Practitioner in Tyler, TX