Matthew Bradley, LISW in Defiance, OH - Medicare Social Worker Provider

Matthew Bradley, LISW is a medicare enrolled "Social Worker - Clinical" provider in Defiance, Ohio. His current practice location is 9777 Mulligans Bluff Rd, Defiance, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 202-5623.

Matthew Bradley is licensed to practice in Ohio (license number I.1700336) 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 1831864974.

Contact Information

	Matthew Bradley, LISW
	9777 Mulligans Bluff Rd, Defiance, OH 43512-9751
	(419) 202-5623
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Bradley
Gender	Male
Speciality	Social Worker - Clinical
Location	9777 Mulligans Bluff Rd, Defiance, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831864974
Provider Enumeration Date: 08/11/2021
Last Update Date: 08/11/2021

Medicare PECOS Information:

PECOS PAC ID: 0345777215
Enrollment ID: I20241217003600

Medical Identifiers

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

Identifier	Type	State	Issuer
1831864974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1700336 (Ohio)	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. Matthew Bradley allows following entities to bill medicare on his behalf.

Entity Name	Internal Harmony Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528899044 PECOS PAC ID: 9436686300 Enrollment ID: O20241217003420

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. Matthew 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
Matthew Bradley, LISW 9777 Mulligans Bluff Rd, Defiance, OH 43512-9751 Ph: (419) 202-5623	Matthew Bradley, LISW 9777 Mulligans Bluff Rd, Defiance, OH 43512-9751 Ph: (419) 202-5623

Reviews and Comments

Social Worker in Defiance, OH

Jacqueline Carr, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523
Anne Mallett, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 E 2nd St, Defiance, OH 43512 Phone: 440-260-8300 Fax: 440-260-8575
Lucila A. Moreno, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-6955 Fax: 419-291-6436
Tamara Lynn Junge, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1252 Ralston Avenue, #401, Defiance, OH 43512 Phone: 419-783-6805 Fax: 419-783-6804
Craig W Parliment, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1018 Ralston Ave, Defiance, OH 43512 Phone: 419-567-2138 Fax: 419-225-8878
Sharon Rene Schlater, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1450 S Clinton St, Defiance, OH 43512 Phone: 419-784-3502 Fax: 419-784-3502
Dashaun P Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856

Matthew Bradley, LISW - Medicare Clinical Social Worker in Defiance, OH