Mrs Heidi M Bradley, RN FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sequatchie, Tennessee. Her current practice location is
8401 Highway 150, Sequatchie, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(678) 687-4376.
Mrs Heidi M Bradley is licensed to practice in Tennessee (license number 34411) 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 1366220808.
Provider's Profile
| Full Name | Mrs Heidi M Bradley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8401 Highway 150, Sequatchie, Tennessee |
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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: 1366220808
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274982400
- Enrollment ID: I20231213000253
Medical Identifiers
Medical identifiers for Mrs Heidi M Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366220808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 34411 (Tennessee) | 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. Mrs Heidi M Bradley allows following entities to bill medicare on her behalf.
| Entity Name | Tennessee Oncology,pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811955917
PECOS PAC ID: 4688586134
Enrollment ID: O20031103000534 |
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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. Mrs Heidi M 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 |
|---|
Mrs Heidi M Bradley, RN FNP-BC
8401 Highway 150,
Sequatchie, TN 37374-5030
Ph: () - | Mrs Heidi M Bradley, RN FNP-BC
8401 Highway 150,
Sequatchie, TN 37374-5030
Ph: (678) 687-4376 |
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