Dr Bonnie G Bradley, OD is a medicare enrolled "Optometrist" provider in East Ellijay, Georgia. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Optometry. Her current practice location is
772 Maddox Dr, Suite 132, East Ellijay, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 276-4455.
Dr Bonnie G Bradley is licensed to practice in Georgia (license number OPT001314) 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 1366446338.
Healthcare Provider's Profile
| Full Name | Dr Bonnie G Bradley |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 32 Years |
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| Location | 772 Maddox Dr, East Ellijay, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bonnie G Bradley graduated from medical school in 1992
NPI Data:
- NPI Number: 1366446338
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 03/30/2010
Medicare PECOS Information:
- PECOS PAC ID: 9234269408
- Enrollment ID: I20100615000192
Medical Identifiers
Medical identifiers for Dr Bonnie G Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366446338 | NPI | - | NPPES |
| 00514599A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT001314 (Georgia) | 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. Dr Bonnie G Bradley allows following entities to bill medicare on her behalf.
| Provider Name | Bradley Eye Associates, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851619506
PECOS PAC ID: 4082744255
Enrollment ID: O20100615000170 |
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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. Dr Bonnie G 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 |
|---|
Dr Bonnie G Bradley, OD
772 Maddox Dr, Suite 132,
East Ellijay, GA 30540-8194
Ph: (706) 276-4455 | Dr Bonnie G Bradley, OD
772 Maddox Dr, Suite 132,
East Ellijay, GA 30540-8194
Ph: (706) 276-4455 |
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