Mrs Jillian L Bradley, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in S Attleboro, Massachusetts. Her current practice location is
200 May St, S Attleboro, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 838-2219.
Mrs Jillian L Bradley is licensed to practice in Massachusetts (license number RN2328085) 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 1871110221.
Provider's Profile
Full Name | Mrs Jillian L Bradley |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 200 May St, S Attleboro, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871110221
- Provider Enumeration Date: 07/01/2020
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264812544
- Enrollment ID: I20220705000144
Medical Identifiers
Medical identifiers for Mrs Jillian L Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871110221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2328085 (Massachusetts) | 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 Jillian L Bradley allows following entities to bill medicare on her behalf.
Entity Name | Baystate Medical Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
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Entity Name | Uhs Of Fuller Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316917222 PECOS PAC ID: 3274510003 Enrollment ID: O20040630000610 |
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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 Jillian L 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 Jillian L Bradley, PMHNP-BC 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Mrs Jillian L Bradley, PMHNP-BC 200 May St, S Attleboro, MA 02703-5520 Ph: (508) 838-2219 |
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