Kathryn L Bradley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pt Charlotte, Florida. Her current practice location is
18574 Briggs Cir, Pt Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 380-7132.
Kathryn L Bradley is licensed to practice in Florida (license number ARNP 9255172) 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 1457379943.
Provider's Profile
| Full Name | Kathryn L Bradley |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 18574 Briggs Cir, Pt Charlotte, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457379943
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 9032205125
- Enrollment ID: I20071109000616
Medical Identifiers
Medical identifiers for Kathryn L Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457379943 | NPI | - | NPPES |
| 1606315 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704109509 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP 9255172 (Florida) | 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. Kathryn L Bradley allows following entities to bill medicare on her behalf.
| Entity Name | Chelsea Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568542967
PECOS PAC ID: 0648171074
Enrollment ID: O20040421001554 |
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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. Kathryn L 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 |
|---|
Kathryn L Bradley, CRNA
18574 Briggs Cir,
Pt Charlotte, FL 33948-9600
Ph: (941) 380-7132 | Kathryn L Bradley, CRNA
18574 Briggs Cir,
Pt Charlotte, FL 33948-9600
Ph: (941) 380-7132 |
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