Ms Sally V Bradford, CNS is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Burke, Virginia. Ms Sally V Bradford is licensed to practice in Virginia (license number 0015000196) and her current practice location is
5999 Burke Commons Rd, Kaiser Permanente Burke Medical Center, Burke, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 249-7700.
NPI number for Ms Sally V Bradford is 1053472506 and her current mailing address is 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053472506.
Provider's Profile
| Full Name | Ms Sally V Bradford |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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| Location | 5999 Burke Commons Rd, Burke, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053472506
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 12/06/2012
Medical Identifiers
Medical identifiers for Ms Sally V Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053472506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 0015000196 (Virginia) | Primary |
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 0001045345 (Virginia) | 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. Ms Sally V Bradford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Sally V Bradford, CNS
2101 E Jefferson St, Kaiser Permanente Medicare Enrollment,
Rockville, MD 20852-4908
Ph: (301) 816-2424 | Ms Sally V Bradford, CNS
5999 Burke Commons Rd, Kaiser Permanente Burke Medical Center,
Burke, VA 22015-2880
Ph: (703) 249-7700 |
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