Kelly Todd Bradshaw, NP in Charlotte, NC - Medicare Nurse Practitioner

Kelly Todd Bradshaw, NP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Charlotte-mecklenburg Hospital Authority, Carolinas Medical Center and his current practice location is 1350 S Kings Dr, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 446-1255.

Kelly Todd Bradshaw is licensed to practice in North Carolina (license number 5008932) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295283182.

Contact Information

	Kelly Todd Bradshaw, NP
	1350 S Kings Dr, Charlotte, NC 28207-2134
	(704) 446-1255
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Todd Bradshaw
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	1350 S Kings Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Todd Bradshaw graduated from nursing school in 2016

NPI Data:

NPI Number: 1295283182
Provider Enumeration Date: 09/20/2016
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5395024020
Enrollment ID: I20161121000011

Medical Identifiers

Medical identifiers for Kelly Todd Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295283182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	5008932 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5008932 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-pineville	Charlotte, NC	Hospital
Carolinas Medical Center-northeast	Concord, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Charlotte-mecklenburg Hospital Authority	2961310685	489
Carolinas Medical Center	4789597477	783

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. Kelly Todd Bradshaw allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Kelly Todd 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
Kelly Todd Bradshaw, NP Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Kelly Todd Bradshaw, NP 1350 S Kings Dr, Charlotte, NC 28207-2134 Ph: (704) 446-1255

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
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Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Kelly Todd Bradshaw, NP - Medicare Nurse Practitioner in Charlotte, NC