Ms Alisha R Bradshaw, PA-C in White Plains, MD - Medicare Physician Assistant

Ms Alisha R Bradshaw, PA-C is a medicare enrolled "Physician Assistant" in White Plains, Maryland. Her current practice location is 4225 Altamont Pl, White Plains, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 955-5000.

Ms Alisha R Bradshaw is licensed to practice in Maryland (license number C0005457) 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 1073846648.

Contact Information

	Ms Alisha R Bradshaw, PA-C
	4225 Altamont Pl, White Plains, MD 20695-3063
	(410) 955-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Alisha R Bradshaw
Gender	Female
Speciality	Physician Assistant
Location	4225 Altamont Pl, White Plains, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073846648
Provider Enumeration Date: 09/14/2009
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5395884522
Enrollment ID: I20150805007085

Medical Identifiers

Medical identifiers for Ms Alisha R Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073846648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	TL1440 (South Carolina)	Secondary
363A00000X	Physician Assistant	C0005457 (Maryland)	Primary

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. Ms Alisha R 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
Ms Alisha R Bradshaw, PA-C 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (803) 774-7000	Ms Alisha R Bradshaw, PA-C 4225 Altamont Pl, White Plains, MD 20695-3063 Ph: (410) 955-5000

Reviews and Comments

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Ms Alisha R Bradshaw, PA-C - Medicare Physician Assistant in White Plains, MD