Mr John Christopher Braddock, LPC in Bristol, TN

Mr John Christopher Braddock, LPC is a medicare enrolled "Counselor - Professional" provider in Bristol, Tennessee. His current practice location is 26 Midway St, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 989-4500.

Mr John Christopher Braddock is licensed to practice in Tennessee (license number 4388) 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 1952558934.

Contact Information

	Mr John Christopher Braddock, LPC
	26 Midway St, Bristol, TN 37620-1706
	(423) 989-4500
	(423) 467-3644

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Christopher Braddock
Gender	Male
Speciality	Counselor - Professional
Location	26 Midway St, Bristol, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952558934
Provider Enumeration Date: 08/21/2008
Last Update Date: 10/04/2018

Medicare PECOS Information:

PECOS PAC ID: 8921458191
Enrollment ID: I20231229002190

Medical Identifiers

Medical identifiers for Mr John Christopher Braddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952558934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4388 (Tennessee)	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. Mr John Christopher Braddock allows following entities to bill medicare on his behalf.

Entity Name	Frontier Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040109000560

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. Mr John Christopher Braddock 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
Mr John Christopher Braddock, LPC Po Box 9054, Gray, TN 37615-9054 Ph: (423) 467-3600	Mr John Christopher Braddock, LPC 26 Midway St, Bristol, TN 37620-1706 Ph: (423) 989-4500

Reviews and Comments

Counselor in Bristol, TN

Ms. Amanda Michelle Keener, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 310, Bristol, TN 37620 Phone: 833-928-1484
Mrs. Amy Lynn Greene, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582
Miss Katherine Ellen Debusk, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristor Regional Counseling Center, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4568
Dr. Marie Eileen Crawford, PHD Counselor Medicare: May Accept Medicare Assignments Practice Location: 739 Bluff City Hwy, Suite 5, Bristol, TN 37620 Phone: 423-217-1097 Fax: 423-217-1069
Ms. Erin Jaclyn Rall, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway, Bristol, TN 37620 Phone: 423-989-4558
Denise Miller, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-467-3644
Bridgette Samantha Walker, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-467-3644

Mr John Christopher Braddock, LPC - Medicare Counselor in Bristol, TN