Patrick Dewayne Bradford Jr, OTR/L in Los Angeles, CA - Medicare Occupational Therapist Provider

Patrick Dewayne Bradford Jr, OTR/L is a medicare enrolled "Occupational Therapist - Neurorehabilitation" provider in Los Angeles, California. His current practice location is 845 S Burlington Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 381-5585.

Patrick Dewayne Bradford Jr is licensed to practice in California (license number 25824) 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 1497519391.

Contact Information

	Patrick Dewayne Bradford Jr, OTR/L
	845 S Burlington Ave, Los Angeles, CA 90057-4296
	(213) 381-5585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick Dewayne Bradford Jr
Gender	Male
Speciality	Occupational Therapist - Neurorehabilitation
Location	845 S Burlington Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497519391
Provider Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7911444013
Enrollment ID: I20240807002274

Medical Identifiers

Medical identifiers for Patrick Dewayne Bradford Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497519391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XN1300X	Occupational Therapist - Neurorehabilitation	25824 (California)	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. Patrick Dewayne Bradford Jr allows following entities to bill medicare on his behalf.

Provider Name	All Star Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451

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. Patrick Dewayne Bradford Jr 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
Patrick Dewayne Bradford Jr, OTR/L 1555 Vine St Apt 234s, Los Angeles, CA 90028-7375 Ph: (909) 236-9777	Patrick Dewayne Bradford Jr, OTR/L 845 S Burlington Ave, Los Angeles, CA 90057-4296 Ph: (213) 381-5585

Reviews and Comments

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Patrick Dewayne Bradford Jr, OTR/L - Medicare Occupational Therapist in Los Angeles, CA