Misti Dawn Bryant Bradshaw, NP in Longview, WA

Misti Dawn Bryant Bradshaw, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Longview, Washington. Her current practice location is 921 14th Ave, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 423-0203.

Misti Dawn Bryant Bradshaw is licensed to practice in Texas (license number 1044452) 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 1306595020.

Contact Information

	Misti Dawn Bryant Bradshaw, NP
	921 14th Ave, Longview, WA 98632-2316
	(360) 423-0203
	Not Available

Map and Direction

Provider's Profile

Full Name	Misti Dawn Bryant Bradshaw
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	921 14th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306595020
Provider Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4880066950
Enrollment ID: I20230220000037

Medical Identifiers

Medical identifiers for Misti Dawn Bryant Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306595020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1044452 (Texas)	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. Misti Dawn Bryant Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Christus Good Shepherd Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760908404 PECOS PAC ID: 3779565544 Enrollment ID: O20040604000400

Entity Name	Opgt, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366864951 PECOS PAC ID: 6901029206 Enrollment ID: O20140513001596

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. Misti Dawn Bryant 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
Misti Dawn Bryant Bradshaw, NP 327 Hillshore Dr, Longview, TX 75605-7060 Ph: (903) 241-6203	Misti Dawn Bryant Bradshaw, NP 921 14th Ave, Longview, WA 98632-2316 Ph: (360) 423-0203

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Mr. David Jude Paris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086

Misti Dawn Bryant Bradshaw, NP - Medicare Nurse Practitioner in Longview, WA