Nicole Lynn Bradley, in Princeton, IN - Medicare Nurse Practitioner

Nicole Lynn Bradley, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Princeton, Indiana. Her current practice location is 602 W Emerson St, Princeton, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 664-2270.

Nicole Lynn Bradley is licensed to practice in Indiana (license number 28231868A) 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 1700519584.

Contact Information

	Nicole Lynn Bradley,
	602 W Emerson St, Princeton, IN 47670-1330
	(812) 664-2270
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Lynn Bradley
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	602 W Emerson St, Princeton, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700519584
Provider Enumeration Date: 07/08/2022
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5294118675
Enrollment ID: I20220817002818

Medical Identifiers

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

Identifier	Type	State	Issuer
1700519584	NPI	-	NPPES
71012748A	Other	IN	APRN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	28231868A (Indiana)	Primary
163W00000X	Registered Nurse	28231868A (Indiana)	Secondary

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. Nicole Lynn Bradley allows following entities to bill medicare on her behalf.

Entity Name	Onhealthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417220369 PECOS PAC ID: 8527221480 Enrollment ID: O20120514000325

Entity Name	Brentwood Meadows Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528479029 PECOS PAC ID: 9830412956 Enrollment ID: O20141222001827

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. Nicole Lynn 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
Nicole Lynn Bradley, 12910 Shelbyville Rd, Ste 300, Louisville, KY 40243-2404 Ph: (502) 244-2420	Nicole Lynn Bradley, 602 W Emerson St, Princeton, IN 47670-1330 Ph: (812) 664-2270

Reviews and Comments

Nurse Practitioner Nurses in Princeton, IN

Linda Linneweber, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1698 S 100 W, Princeton, IN 47670 Phone: 812-253-7213 Fax: 812-253-7165
Sarah A Koehler, AGPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1808 Sherman Dr, Princeton, IN 47670 Phone: 812-385-1701
Kimberlee Goldbach, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4000 S Tulip Tree Dr, Princeton, IN 47670 Phone: 812-387-2923
Vonetta M Vories, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 N Main St, Princeton, IN 47670 Phone: 812-385-1071 Fax: 812-385-8793
Kaci Dawn Quinn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4840 S Maple Tree Dr, Princeton, IN 47670 Phone: 812-387-4000
Angela L Olson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Broadway St, Princeton, IN 47670 Phone: 812-385-5283 Fax: 812-385-5274
Kara E Holscher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Broadway St, Princeton, IN 47670 Phone: 812-385-5283 Fax: 812-385-5274

Nicole Lynn Bradley, - Medicare Nurse Practitioner in Princeton, IN