Bradley Jerson, PHD in Hartford, CT - Medicare Psychologist Provider

Bradley Jerson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hartford, Connecticut. His current practice location is 282 Washington St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 545-9507.

Bradley Jerson is licensed to practice in Connecticut (license number 003501) 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 1720405715.

Contact Information

	Bradley Jerson, PHD
	282 Washington St, Hartford, CT 06106-3322
	(860) 545-9507
	(860) 545-9561

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley Jerson
Gender	Male
Speciality	Psychologist - Clinical
Location	282 Washington St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720405715
Provider Enumeration Date: 03/27/2014
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0244530731
Enrollment ID: I20151207000855

Medical Identifiers

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

Identifier	Type	State	Issuer
1720405715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	003501 (Connecticut)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	003501 (Connecticut)	Secondary
103TC0700X	Psychologist - Clinical	003501 (Connecticut)	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. Bradley Jerson allows following entities to bill medicare on his behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

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. Bradley Jerson 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
Bradley Jerson, PHD 100 Retreat Ave, Hartford Hospital Child Psychiatry, Div Of Psychology, Hartford, CT 06106-2528 Ph: (860) 837-5206	Bradley Jerson, PHD 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9507

Reviews and Comments

Psychologist in Hartford, CT

Dr. Brian T Conover, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-293-6353 Fax: 860-293-6356
Ms. Omayra M. Carrion, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Woodland St, Hartford, CT 06105 Phone: 860-793-3373
Dr. Deborah Jean Stack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 682 Prospect Avenue, Hartford, CT 06105 Phone: 860-258-6065 Fax: 860-232-5077
Dr. Alexandra Giatrelis Munro, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 76 New Britain Ave, Hartford, CT 06106 Phone: 860-547-0970
Dr. Luke Hendren, Psychologist Medicare: Medicare Enrolled Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-545-7514
James Degiovanni, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Department, Hartford, CT 06106 Phone: 860-545-7167 Fax: 860-545-7222
Dr. Allan L. Schiffer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 674 Prospect Ave, Hartford, CT 06105 Phone: 860-233-6228 Fax: 860-233-2371

Bradley Jerson, PHD - Medicare Psychologist in Hartford, CT