Laura J Bradstreet, APNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in New Glarus, Wisconsin. Her current practice location is
619 Windlach St, New Glarus, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 412-0427.
Laura J Bradstreet is licensed to practice in Wisconsin (license number 13111) 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 1710604061.
Provider's Profile
| Full Name | Laura J Bradstreet |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 619 Windlach St, New Glarus, Wisconsin |
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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: 1710604061
- Provider Enumeration Date: 10/26/2022
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244608222
- Enrollment ID: I20221122003476
Medical Identifiers
Medical identifiers for Laura J Bradstreet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710604061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 13111 (Wisconsin) | 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. Laura J Bradstreet allows following entities to bill medicare on her behalf.
| Entity Name | University Of Wisconsin Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435 |
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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. Laura J Bradstreet 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 |
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Laura J Bradstreet, APNP
619 Windlach St,
New Glarus, WI 53574-9439
Ph: (414) 412-0427 | Laura J Bradstreet, APNP
619 Windlach St,
New Glarus, WI 53574-9439
Ph: (414) 412-0427 |
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