Mrs Trasse D Bradley, PA-C in Jacksonville, FL - Medicare Physician Assistant

Mrs Trasse D Bradley, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. Her current practice location is 1301 Palm Ave, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 202-7300.

Mrs Trasse D Bradley is licensed to practice in Florida (license number PA9106836) 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 1770834764.

Contact Information

	Mrs Trasse D Bradley, PA-C
	1301 Palm Ave, Jacksonville, FL 32207-8432
	(904) 202-7300
	(904) 202-7433

Map and Direction

Provider's Profile

Full Name	Mrs Trasse D Bradley
Gender	Female
Speciality	Physician Assistant
Location	1301 Palm Ave, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770834764
Provider Enumeration Date: 10/01/2012
Last Update Date: 05/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6103065065
Enrollment ID: I20130625000711

Medical Identifiers

Medical identifiers for Mrs Trasse D Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770834764	NPI	-	NPPES
0087529-00	Medicaid	FL
003138114A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9106836 (Florida)	Primary
246ZC0007X	Specialist/technologist, Other - Surgical Assistant	PA9106836 (Florida)	Secondary

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 Trasse D 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 Trasse D Bradley, PA-C Po Box 746654, Atlanta, GA 30374-6654 Ph: (904) 202-2092	Mrs Trasse D Bradley, PA-C 1301 Palm Ave, Jacksonville, FL 32207-8432 Ph: (904) 202-7300

Reviews and Comments

Physician Assistant Nurses in Jacksonville, FL

Katherine L Walsh, PA-C/MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Teresa Louise Cowan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207 Phone: 904-396-6620 Fax: 904-396-6528
Mrs. Melina Volner Sommese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2594 Fax: 904-953-6225
Jessica Defazio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr Ste 1100, Jacksonville, FL 32207 Phone: 904-388-6518 Fax: 904-384-1005
Kayla Marie Demus Wilmot, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Dunn Ave Ste 1, Jacksonville, FL 32218 Phone: 904-745-3618
Rachel Lahav, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4123 University Blvd S, Ste B, Jacksonville, FL 32216 Phone: 904-636-9100 Fax: 904-636-9102
Samantha Steele, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12398 Wavyleaf Ct, Jacksonville, FL 32225 Phone: 443-758-3656

Mrs Trasse D Bradley, PA-C - Medicare Physician Assistant in Jacksonville, FL