| Bradley Shaw, | |
|
3708 Robinwood Cir, Bryant, AR 72022-8374 | |
| (501) 993-5465 | |
| Not Available |
| Full Name | Bradley Shaw |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 29 Years |
| Location | 3708 Robinwood Cir, Bryant, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104229871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P0002005 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Health Group | 7911802079 | 579 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871959874 PECOS PAC ID: 7911802079 Enrollment ID: O20141029001863 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Shaw, 3708 Robinwood Cir, Bryant, AR 72022-8374 Ph: (501) 993-5465 | Bradley Shaw, 3708 Robinwood Cir, Bryant, AR 72022-8374 Ph: (501) 993-5465 |
Patricia Ann Gann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905 | |
Molly Ann Vanwie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905 | |
Mr. Dustin J. Morrow, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd, Bryant, AR 72022 Phone: 501-303-6108 Fax: 501-399-4043 | |
Chance Mehalic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905 | |
Mrs. Bianca Lynn Carpenter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3230 Market Place Ave Ste 4, Bryant, AR 72022 Phone: 501-781-2230 | |
Miss Rebekkah Catherine Fortner, MMPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 12100 Fieldstone Ln, M65, Bryant, AR 72022 Phone: 501-351-0859 Fax: 501-594-5200 |