Tracy Lane Bradfield, CNP in Albuquerque, NM - Medicare Nurse Practitioner

Tracy Lane Bradfield, CNP is a medicare enrolled "Nurse Practitioner - Family" in Albuquerque, New Mexico. His current practice location is 5800 Mcleod Rd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 453-0958.

Tracy Lane Bradfield is licensed to practice in New Mexico (license number CNP-02695) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659747681.

Contact Information

	Tracy Lane Bradfield, CNP
	5800 Mcleod Rd Ne, Albuquerque, NM 87109-2454
	(505) 453-0958
	(505) 422-8612

Map and Direction

Provider's Profile

Full Name	Tracy Lane Bradfield
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5800 Mcleod Rd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659747681
Provider Enumeration Date: 08/13/2015
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0840556072
Enrollment ID: I20171106000097

Medical Identifiers

Medical identifiers for Tracy Lane Bradfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659747681	NPI	-	NPPES
50575716	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP-02695 (New Mexico)	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. Tracy Lane Bradfield allows following entities to bill medicare on his behalf.

Entity Name	Sdlt, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689190357 PECOS PAC ID: 8426314642 Enrollment ID: O20171103001856

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. Tracy Lane Bradfield 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
Tracy Lane Bradfield, CNP 6704 Broadway Blvd Ne, Albuquerque, NM 87107-5911 Ph: (505) 453-0958	Tracy Lane Bradfield, CNP 5800 Mcleod Rd Ne, Albuquerque, NM 87109-2454 Ph: (505) 453-0958

Reviews and Comments

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Tracy Lane Bradfield, CNP - Medicare Nurse Practitioner in Albuquerque, NM