Callie Jo Bradford, LPCC in Columbia, KY - Medicare Counselor Provider

Callie Jo Bradford, LPCC is a medicare enrolled "Counselor - Professional" provider in Columbia, Kentucky. Her current practice location is 404 Public Sq, Columbia, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 634-9346.

Callie Jo Bradford is licensed to practice in Kentucky (license number 295709) 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 1265156285.

Contact Information

	Callie Jo Bradford, LPCC
	404 Public Sq, Columbia, KY 42728-1458
	(270) 634-9346
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Callie Jo Bradford
Gender	Female
Speciality	Counselor - Professional
Location	404 Public Sq, Columbia, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265156285
Provider Enumeration Date: 10/03/2022
Last Update Date: 01/10/2025

Medicare PECOS Information:

PECOS PAC ID: 0143743542
Enrollment ID: I20250326002445

Medical Identifiers

Medical identifiers for Callie Jo Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265156285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	295709 (Kentucky)	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. Callie Jo Bradford allows following entities to bill medicare on her behalf.

Entity Name	Breath Of Grace Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003550575 PECOS PAC ID: 5799152591 Enrollment ID: O20221108002488

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. Callie Jo 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
Callie Jo Bradford, LPCC 404 Public Sq, Columbia, KY 42728-1458 Ph: (270) 634-9346	Callie Jo Bradford, LPCC 404 Public Sq, Columbia, KY 42728-1458 Ph: (270) 634-9346

Reviews and Comments

Counselor in Columbia, KY

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Donna Agee, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4710 Fax: 270-384-4820
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Savannah Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719

Callie Jo Bradford, LPCC - Medicare Counselor in Columbia, KY