Lanie Ann Bradford, is a
Physician Assistant based in Colquitt, Georgia. Lanie Ann Bradford is licensed to practice in * (Not Available) (license number ) and her current practice location is
385 Thompson Town Rd, Colquitt, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 416-8243.
NPI number for Lanie Ann Bradford is 1851013650 and her current mailing address is 385 Thompson Town Rd, Colquitt, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851013650.
Provider's Profile
| Full Name | Lanie Ann Bradford |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 385 Thompson Town Rd, Colquitt, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851013650
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 09/19/2022
Medical Identifiers
Medical identifiers for Lanie Ann Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851013650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Lanie Ann Bradford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lanie Ann Bradford,
385 Thompson Town Rd,
Colquitt, GA 39837-5231
Ph: (229) 416-8243 | Lanie Ann Bradford,
385 Thompson Town Rd,
Colquitt, GA 39837-5231
Ph: (229) 416-8243 |
Reviews and Comments