Ms Holly L Bradley, CRNA in Fredericksburg, VA - Medicare Nurse Anesthetist, Certified Registered

Ms Holly L Bradley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fredericksburg, Virginia. Her current practice location is 1500 Dixon St Ste 101, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 741-1100.

Ms Holly L Bradley is licensed to practice in Pennsylvania (license number 135529) 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 1205571700.

Contact Information

	Ms Holly L Bradley, CRNA
	1500 Dixon St Ste 101, Fredericksburg, VA 22401-7231
	(540) 741-1100
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Holly L Bradley
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1500 Dixon St Ste 101, Fredericksburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205571700
Provider Enumeration Date: 04/29/2022
Last Update Date: 06/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3274901798
Enrollment ID: I20221115000192

Medical Identifiers

Medical identifiers for Ms Holly L Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205571700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	135529 (Pennsylvania)	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. Ms Holly L Bradley allows following entities to bill medicare on her behalf.

Entity Name	Professional Anesthesia Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619149648 PECOS PAC ID: 8527133677 Enrollment ID: O20090122000416

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063

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 Holly 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
Ms Holly L Bradley, CRNA 800 N 2nd St # 216, Philadelphia, PA 19123-3038 Ph: (717) 201-4541	Ms Holly L Bradley, CRNA 1500 Dixon St Ste 101, Fredericksburg, VA 22401-7231 Ph: (540) 741-1100

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fredericksburg, VA

Melyssa Carroll Mooney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614
Jennifer Lynn Bridy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614
Kelly N Petz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 800-394-4445 Fax: 706-955-0720
Amy Ann Uriell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 844-454-0171
Alexis Stadsklev, DNP APRN CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1100
Rodger Alan Oren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614
Jeanette Nargi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 540-741-7615

Ms Holly L Bradley, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fredericksburg, VA