Jatavia Bradley, MS in Madison, AL - Medicare Counselor Provider

Jatavia Bradley, MS is a medicare enrolled "Counselor - Professional" provider in Madison, Alabama. Her current practice location is 350 Sun Temple Dr, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 288-3333.

Jatavia Bradley is licensed to practice in Alabama (license number 5585) 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 1447718721.

Contact Information

	Jatavia Bradley, MS
	350 Sun Temple Dr, Madison, AL 35758-5919
	(256) 288-3333
	(256) 429-9411

Map and Direction

Healthcare Provider's Profile

Full Name	Jatavia Bradley
Gender	Female
Speciality	Counselor - Professional
Location	350 Sun Temple Dr, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447718721
Provider Enumeration Date: 03/06/2019
Last Update Date: 05/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1456879717
Enrollment ID: I20250520001747

Medical Identifiers

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

Identifier	Type	State	Issuer
1447718721	NPI	-	NPPES
330000014	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	5585 (Alabama)	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. Jatavia Bradley allows following entities to bill medicare on her behalf.

Entity Name	Integrated Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029

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. Jatavia 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
Jatavia Bradley, MS 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 975-4291	Jatavia Bradley, MS 350 Sun Temple Dr, Madison, AL 35758-5919 Ph: (256) 288-3333

Reviews and Comments

Counselor in Madison, AL

Lori Pohly, ALC Counselor Medicare: Medicare Enrolled Practice Location: 190 Lime Quarry Road, Suite 212, Madison, AL 35758 Phone: 256-278-2802
Cynthia A Perry, COUNSELOR, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Brickstone Pl, Madison, AL 35756 Phone: 256-867-3787
Angela Johnson, LPC,NCC,IQCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 12315 Old Orchard Rd, Madison, AL 35756 Phone: 256-656-6368
Miss Chassidy Kaye Staggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd, Building One, Suite 1300, Madison, AL 35758 Phone: 256-774-8377
Kimberly L Evans, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1634 Slaughter Rd, Madison, AL 35758 Phone: 256-822-2375 Fax: 256-584-2330
Rachel Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Lime Quarry Rd Ste 111, Madison, AL 35758 Phone: 256-278-2802
Emily Jane Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd, Buliding One, Suite 1300, Madison, AL 35758 Phone: 256-774-8340 Fax: 256-774-8380

Jatavia Bradley, MS - Medicare Counselor in Madison, AL