Mitchell R Bradley, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI

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Mitchell R Bradley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ambulatory Anesthesia Associates Pc, Northstar Anesthesia Of Michigan Pllc and his current practice location is 3990 John R St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-7600.

Mitchell R Bradley is licensed to practice in Michigan (license number 4704277636) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1013256221.

Contact Information

Mitchell R Bradley, CRNA
3990 John R St,
Detroit, MI 48201-2018
(313) 745-7600
(952) 442-3620

Map and Direction




Provider's Profile

Full NameMitchell R Bradley
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location3990 John R St, Detroit, Michigan
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mitchell R Bradley graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1013256221
  • Provider Enumeration Date: 02/07/2013
  • Last Update Date: 02/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9234374273
  • Enrollment ID: I20130322000410

Medical Identifiers

Medical identifiers for Mitchell R Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013256221NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704277636 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Karmanos Cancer CenterDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ambulatory Anesthesia Associates Pc509272902017
Northstar Anesthesia Of Michigan Pllc9638481591180

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. Mitchell R Bradley allows following entities to bill medicare on his behalf.
Entity NameStraith Hospital For Special Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548268436
PECOS PAC ID: 1153210067
Enrollment ID: O20040310001337
Entity NameSuperior Anesthetists Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831144518
PECOS PAC ID: 5890784987
Enrollment ID: O20040512000785
Entity NameAmbulatory Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952350555
PECOS PAC ID: 5092729020
Enrollment ID: O20060130000526
Entity NameNorthwestern Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215106679
PECOS PAC ID: 4486723657
Enrollment ID: O20080514000823
Entity NameMichigan Crnas Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851666424
PECOS PAC ID: 7416105226
Enrollment ID: O20120920000441
Entity NameNorthstar Anesthesia Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871986372
PECOS PAC ID: 9638481591
Enrollment ID: O20150707000070
Entity NameEnviron Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831438092
PECOS PAC ID: 3870717754
Enrollment ID: O20180227002190
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990

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. Mitchell R 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 AddressPractice Location Address
Mitchell R Bradley, CRNA
4676 Department,
Carol Stream, IL 60122-4676

Ph: (952) 442-9770		Mitchell R Bradley, CRNA
3990 John R St,
Detroit, MI 48201-2018

Ph: (313) 745-7600

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-8521    
Caroline L Talbert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-7600    Fax: 952-442-3620
Kyle Krupa,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Lisa Zetuna,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Kurt Belen, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10814 Duprey St, Detroit, MI 48224
Phone: 313-410-1988    
Dr. Timothy Turner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-8078    
Ms. Laura Lynn Rivera, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.