Logan Bradley, DPT in Idaho Falls, ID - Medicare Physical Therapy Provider

Logan Bradley, DPT is a medicare enrolled "Physical Therapist" provider in Idaho Falls, Idaho. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ellis Physical Therapy And Associates Llc and his current practice location is 3100 S Woodruff Ave, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 523-8879.

Logan Bradley is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336661321.

Contact Information

	Logan Bradley, DPT
	3100 S Woodruff Ave, Idaho Falls, ID 83404-8310
	(208) 523-8879
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Bradley
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	3100 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Logan Bradley graduated from medical school in 2017

NPI Data:

NPI Number: 1336661321
Provider Enumeration Date: 07/11/2017
Last Update Date: 05/13/2020

Medicare PECOS Information:

PECOS PAC ID: 1254603301
Enrollment ID: I20170824000150

Medical Identifiers

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

Identifier	Type	State	Issuer
1336661321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ellis Physical Therapy And Associates Llc	0244660710	4

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. Logan Bradley allows following entities to bill medicare on his behalf.

Provider Name	Ellis Physical Therapy And Associates Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821628645 PECOS PAC ID: 0244660710 Enrollment ID: O20200423002867

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. Logan 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
Logan Bradley, DPT 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 Ph: (208) 523-8879	Logan Bradley, DPT 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 Ph: (208) 523-8879

Reviews and Comments

Physical Therapist in Idaho Falls, ID

Bryant Belnap Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3345 Merlin Dr, Suite 100, Idaho Falls, ID 83404 Phone: 120-852-2448 Fax: 120-852-2613
Dr. Jeremy L Jones, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2640 Channing Way, Idaho Falls, ID 83404 Phone: 208-552-2248 Fax: 208-552-2463
Tahi Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3345 Merlin Dr Ste 100, Idaho Falls, ID 83404 Phone: 208-522-4481 Fax: 208-522-6136
Sharon Sampson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5412 S House Rock Cir, Idaho Falls, ID 83406 Phone: 208-552-0226 Fax: 208-247-7777
Dayne Shaw, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286
Grace G Crook, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3125 Valencia Dr, Idaho Falls, ID 83404 Phone: 208-529-3332
Teton Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2037 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-3355 Fax: 208-529-9581

Logan Bradley, DPT - Medicare Physical Therapist in Idaho Falls, ID