Elizabeth Anne Bradley, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Lawrence, Massachusetts. Her current practice location is
12 Methuen St, Lawrence, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 620-1250.
Elizabeth Anne Bradley is licensed to practice in * (Not Available) (license number ) 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 1326577974.
Healthcare Provider's Profile
Full Name | Elizabeth Anne Bradley |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 12 Methuen St, Lawrence, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326577974
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 02/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 9739531179
- Enrollment ID: I20240122000904
Medical Identifiers
Medical identifiers for Elizabeth Anne Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326577974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Elizabeth Anne Bradley allows following entities to bill medicare on her behalf.
Entity Name | Riverside Community Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780791467 PECOS PAC ID: 6709799885 Enrollment ID: O20031106000306 |
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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. Elizabeth Anne 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 |
Elizabeth Anne Bradley, 12 Methuen St, Lawrence, MA 01840-1700 Ph: () - | Elizabeth Anne Bradley, 12 Methuen St, Lawrence, MA 01840-1700 Ph: (978) 620-1250 |
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