Letitia L Bradford, MD is a medicare enrolled "Orthopaedic Surgery" physician in King City, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Rehoboth Mckinley Christian Health Care Services, Inc. and her current practice location is
300 Canal St, King City, California. You can reach out to her office (for appointments etc.) via phone at
(831) 385-5471.
Letitia L Bradford is licensed to practice in California (license number A70194) 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 1194740217.
Physician's Profile
| Full Name | Letitia L Bradford |
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| Gender | Female |
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| Speciality | Orthopedic Surgery |
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| Experience | 27 Years |
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| Location | 300 Canal St, King City, California |
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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:
- Letitia L Bradford attended and graduated from University Of California, San Francisco School Of Medicine in 1997
NPI Data:
- NPI Number: 1194740217
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 10/27/2010
Medicare PECOS Information:
- PECOS PAC ID: 4082644331
- Enrollment ID: I20210127000108
Medical Identifiers
Medical identifiers for Letitia L Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194740217 | NPI | - | NPPES |
| 30208936 | Medicaid | NH | |
| 00A701940 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | A70194 (California) | Primary |
| 207X00000X | Orthopaedic Surgery | LT-2827 (New Hampshire) | Secondary |
| 207X00000X | Orthopaedic Surgery | 14581 (New Hampshire) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rehoboth Mckinley Christian Health Care Services, Inc. | 1759293855 | 27 |
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. Letitia L Bradford allows following entities to bill medicare on her behalf.
| Entity Name | Rehoboth Mckinley Christian Health Care Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720084999
PECOS PAC ID: 1759293855
Enrollment ID: O20031105000466 |
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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. Letitia L Bradford 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 |
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Letitia L Bradford, MD
7485 Rush River Dr, Suite 710-323,
Sacramento, CA 95831-5259
Ph: (831) 385-5471 | Letitia L Bradford, MD
300 Canal St,
King City, CA 93930-3431
Ph: (831) 385-5471 |
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