Lakynn R Bradshaw, APRN in West Plains, MO - Medicare Nurse Practitioner

Lakynn R Bradshaw, APRN is a medicare enrolled "Nurse Practitioner - Family" in West Plains, Missouri. Her current practice location is 1307 Porter Wagoner Blvd, West Plains, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 255-8645.

Lakynn R Bradshaw is licensed to practice in Arkansas (license number 220776) 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 1174254585.

Contact Information

	Lakynn R Bradshaw, APRN
	1307 Porter Wagoner Blvd, West Plains, MO 65775-1828
	(417) 255-8645
	Not Available

Map and Direction

Provider's Profile

Full Name	Lakynn R Bradshaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1307 Porter Wagoner Blvd, West Plains, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174254585
Provider Enumeration Date: 06/17/2022
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 9537525894
Enrollment ID: I20230512000254

Medical Identifiers

Medical identifiers for Lakynn R Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174254585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022031561 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	220776 (Arkansas)	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. Lakynn R Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Ozarks Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035

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. Lakynn R 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
Lakynn R Bradshaw, APRN 1128 Mount Calm Rd, Viola, AR 72583-9445 Ph: (870) 371-0380	Lakynn R Bradshaw, APRN 1307 Porter Wagoner Blvd, West Plains, MO 65775-1828 Ph: (417) 255-8645

Reviews and Comments

Nurse Practitioner Nurses in West Plains, MO

Mr. Larry Ray Kennon, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464
Jana Ethel Reid, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-349-2334
Susan Kenslow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-9111
Victoria Hadley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11592 Private Road 6830, West Plains, MO 65775 Phone: 417-372-1061
James Streff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Alaska St, Suite 114, West Plains, MO 65775 Phone: 417-257-5950
Kristen Rene' White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464
Shawna Renee Middleton, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Independence Sq, West Plains, MO 65775 Phone: 471-256-1761 Fax: 417-256-1763

Lakynn R Bradshaw, APRN - Medicare Nurse Practitioner in West Plains, MO