Jaclynn N Bradshaw, APN in Bremerton, WA - Medicare Nurse Practitioner

Jaclynn N Bradshaw, APN is a medicare enrolled "Nurse Practitioner - Gerontology" in Bremerton, Washington. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Specialty Physician Group Llc and her current practice location is 2709 Hemlock St, Bremerton, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 782-6000.

Jaclynn N Bradshaw is licensed to practice in Washington (license number AP60691550) 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 1669816831.

Contact Information

	Jaclynn N Bradshaw, APN
	2709 Hemlock St, Bremerton, WA 98310-2623
	(360) 782-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclynn N Bradshaw
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2709 Hemlock St, Bremerton, Washington
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:

Jaclynn N Bradshaw graduated from nursing school in 2012

NPI Data:

NPI Number: 1669816831
Provider Enumeration Date: 04/18/2013
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 9335388370
Enrollment ID: I20130624000043

Medical Identifiers

Medical identifiers for Jaclynn N Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669816831	NPI	-	NPPES
17563	Other	TN	LICENSE
2067062	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	17563 (Tennessee)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP60691550 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Specialty Physician Group Llc	9537291323	93

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. Jaclynn N Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Specialty Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174842181 PECOS PAC ID: 9537291323 Enrollment ID: O20100714000297

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. Jaclynn N 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
Jaclynn N Bradshaw, APN 2709 Hemlock St, Bremerton, WA 98310-2623 Ph: (360) 782-6000	Jaclynn N Bradshaw, APN 2709 Hemlock St, Bremerton, WA 98310-2623 Ph: (360) 782-6000

Reviews and Comments

Nurse Practitioner Nurses in Bremerton, WA

Teri Lynae Scott, ARNP, CWCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2520 Cherry Ave, Bremerton, WA 98310 Phone: 360-744-5618 Fax: 360-744-4559
Ms. Gretchen Cornwall Berni, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2709 Hemlock St, Bremerton, WA 98310 Phone: 360-782-6000 Fax: 360-478-7240
Elizabeth J Shaubell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: One Boone Road, Naval Hospital, Bremerton, WA 98312 Phone: 360-475-4379 Fax: 360-475-4646
Theresa A Danscuk-sloan, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: One Boone Road, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344
Mrs. Mary Kathryn Odahl Heli, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4209
Mrs. Carolyn Howard Ellison, APRN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-5540
Chante Concepcion, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 723 Ne Riddell Rd Ste A, Bremerton, WA 98310 Phone: 800-769-0045

Jaclynn N Bradshaw, APN - Medicare Nurse Practitioner in Bremerton, WA