Dr Melissa Bradley, in Jackson, MS - Medicare Dentist Provider

Dr Melissa Bradley, is a medicare enrolled "Dentist - General Practice" provider in Jackson, Mississippi. Her current practice location is 3502 W Northside Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 362-5321.

Dr Melissa Bradley is licensed to practice in Illinois (license number 019030213) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619350915.

Contact Information

	Dr Melissa Bradley,
	3502 W Northside Dr, Jackson, MS 39213-4454
	(601) 362-5321
	(601) 364-5153

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Melissa Bradley
Gender	Female
Speciality	Dentist - General Practice
Location	3502 W Northside Dr, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619350915
Provider Enumeration Date: 07/06/2015
Last Update Date: 12/31/2018

Medicare PECOS Information:

PECOS PAC ID: 0345652319
Enrollment ID: I20210504002670

Medical Identifiers

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

Identifier	Type	State	Issuer
1619350915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019030213 (Illinois)	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 Melissa Bradley allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Civic Improvement Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125

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 Melissa 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 Melissa Bradley, 3502 W Northside Dr, Jackson, MS 39213-4454 Ph: (601) 362-5321	Dr Melissa Bradley, 3502 W Northside Dr, Jackson, MS 39213-4454 Ph: (601) 362-5321

Reviews and Comments

Dentist in Jackson, MS

Mrs. Catherine Carter Sledge, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5604 Old Canton Rd, Jackson, MS 39211 Phone: 601-956-8239 Fax: 601-956-8320
Dr. Candice Brittany April, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6028
Dr. Jamie Alexandria White, DMD Dentist Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6001
Barbara Daniela Olivos Bazaes, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6110
Dr. John L Henson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1583 E County Line Rd Ste C, Jackson, MS 39211 Phone: 601-957-7030 Fax: 601-957-7732
Dr. Edwin L Redding, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4801 Old Canton Road, Jackson, MS 39211 Phone: 601-981-7122 Fax: 601-981-0569
Shenika Sharee Kelly, Dentist Medicare: Medicare Enrolled Practice Location: 514 E Woodrow Wilson Ave Ste G, Jackson, MS 39216 Phone: 769-572-4425 Fax: 844-270-0967

Dr Melissa Bradley, - Medicare Dentist in Jackson, MS