Lisa Ann Bradley, is a medicare enrolled "Nurse Practitioner - Family" in Leslie, Michigan. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice W A Foote Memorial Hospital Inc and her current practice location is
130 N Sherman St, Leslie, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 205-2500.
Lisa Ann Bradley is licensed to practice in Michigan (license number 4704297194) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417620741.
Provider's Profile
| Full Name | Lisa Ann Bradley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 130 N Sherman St, Leslie, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Ann Bradley graduated from nursing school in 2021
NPI Data:
- NPI Number: 1417620741
- Provider Enumeration Date: 08/02/2021
- Last Update Date: 09/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658778683
- Enrollment ID: I20210917001970
Medical Identifiers
Medical identifiers for Lisa Ann Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417620741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704297194 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| W A Foote Memorial Hospital Inc | 0244136067 | 410 |
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. Lisa Ann Bradley allows following entities to bill medicare on her behalf.
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629000708
PECOS PAC ID: 0244136067
Enrollment ID: O20040612000395 |
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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. Lisa Ann 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 |
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Lisa Ann Bradley,
130 N Sherman St,
Leslie, MI 49251-9409
Ph: () - | Lisa Ann Bradley,
130 N Sherman St,
Leslie, MI 49251-9409
Ph: (517) 205-2500 |
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