Tiara Leonna Bradley, NP in Thomaston, GA - Medicare Nurse Practitioner

Tiara Leonna Bradley, NP is a medicare enrolled "Nurse Practitioner - Family" in Thomaston, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tridentusa Mobile Clinical Services Llc and her current practice location is 310 Avenue F, Thomaston, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 647-6676.

Tiara Leonna Bradley is licensed to practice in Georgia (license number RN239116) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689205593.

Contact Information

	Tiara Leonna Bradley, NP
	310 Avenue F, Thomaston, GA 30286-3829
	(706) 647-6676
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiara Leonna Bradley
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	310 Avenue F, Thomaston, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tiara Leonna Bradley graduated from nursing school in 2019

NPI Data:

NPI Number: 1689205593
Provider Enumeration Date: 01/29/2020
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0547682387
Enrollment ID: I20200623003425

Medical Identifiers

Medical identifiers for Tiara Leonna Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689205593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN239116 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tridentusa Mobile Clinical Services Llc	6709030133	21

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. Tiara Leonna Bradley allows following entities to bill medicare on her behalf.

Entity Name	Statesboro Hma Physician Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558412023 PECOS PAC ID: 8820196058 Enrollment ID: O20070612000028

Entity Name	Tridentusa Mobile Clinical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20140203001266

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. Tiara Leonna 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
Tiara Leonna Bradley, NP 200 Barnett Ln, Thomaston, GA 30286-5460 Ph: () -	Tiara Leonna Bradley, NP 310 Avenue F, Thomaston, GA 30286-3829 Ph: (706) 647-6676

Reviews and Comments

Nurse Practitioner Nurses in Thomaston, GA

Mrs. Tammie Ann Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Cherokee Rd, Thomaston, GA 30286 Phone: 706-647-3200 Fax: 706-647-2346
Lisa Marie Jenkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S Center St, Thomaston, GA 30286 Phone: 706-647-2147 Fax: 706-647-7229
Mary Suzanne Gamel, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1512 Highway 19 N, Thomaston, GA 30286 Phone: 706-647-2641 Fax: 706-647-2680
Lisa Gaye Ingram, MSN, APRN, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-646-3153
Mrs. Felicia Annette Jarrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-647-7713
Sybil Lew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Deluxe Cir Ste B, Thomaston, GA 30286 Phone: 706-647-7509 Fax: 706-647-6624
Lacey Nicole Campbell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111

Tiara Leonna Bradley, NP - Medicare Nurse Practitioner in Thomaston, GA