Renate Marie Braddy, QMHP-A in Estill Springs, TN

Renate Marie Braddy, QMHP-A is a medicare enrolled "Counselor - Mental Health" provider in Estill Springs, Tennessee. Her current practice location is 416 S Main St, Estill Springs, Tennessee. You can reach out to her office (for appointments etc.) via phone at (276) 617-0512.

Renate Marie Braddy 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 1154982593.

Contact Information

	Renate Marie Braddy, QMHP-A
	416 S Main St, Estill Springs, TN 37330-4037
	(276) 617-0512
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Renate Marie Braddy
Gender	Female
Speciality	Counselor - Mental Health
Location	416 S Main St, Estill Springs, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154982593
Provider Enumeration Date: 06/26/2019
Last Update Date: 06/26/2019

Medicare PECOS Information:

PECOS PAC ID: 6103352422
Enrollment ID: I20241210004371

Medical Identifiers

Medical identifiers for Renate Marie Braddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154982593	NPI	-	NPPES
0732004484	Other	VA	VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Renate Marie Braddy allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Tennessee, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396767430 PECOS PAC ID: 9739088113 Enrollment ID: O20040106000489

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. Renate Marie Braddy 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
Renate Marie Braddy, QMHP-A 416 S Main St, Estill Springs, TN 37330-4037 Ph: (276) 617-0512	Renate Marie Braddy, QMHP-A 416 S Main St, Estill Springs, TN 37330-4037 Ph: (276) 617-0512

Reviews and Comments

Counselor in Estill Springs, TN

Harold Randall Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Estill Springs, TN 37330 Phone: 931-649-3408
David Thomas Cunningham, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Cindy Hollow Rd, Estill Springs, TN 37330 Phone: 931-580-0530
Mr. William Alan Cleek, MA,ED.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Estill Springs, TN 37330 Phone: 931-649-3408
Ms. Rebecca Ann Smith, CMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Estill Springs, TN 37330 Phone: 931-649-3408 Fax: 931-649-3409
Jennifer Dawn Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Orville Bates Ln, Estill Springs, TN 37330 Phone: 931-222-0801
Ms. Lorraine Kathleen Dwyer, CMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Main St, Estill Springs, TN 37330 Phone: 931-649-3408 Fax: 931-649-3409

Renate Marie Braddy, QMHP-A - Medicare Counselor in Estill Springs, TN