Bradley Nine, MD in Charleston, WV - Medicare Internal Medicine

Bradley Nine, MD is a medicare enrolled "Internal Medicine" physician in Charleston, West Virginia. His current practice location is 3200 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-5432.

Bradley Nine is licensed to practice in West Virginia (license number 15916) 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 1053363127.

Contact Information

	Bradley Nine, MD
	3200 Maccorkle Ave Se, Charleston, WV 25304-1297
	(304) 388-5432
	Not Available

Map and Direction

Physician's Profile

Full Name	Bradley Nine
Gender	Male
Speciality	Internal Medicine
Location	3200 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053363127
Provider Enumeration Date: 05/17/2006
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0749260982
Enrollment ID: I20040720001227

Medical Identifiers

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

Identifier	Type	State	Issuer
1053363127	NPI	-	NPPES
0075463000	Medicaid	WV
00683538	Other	WV	BLUE CROSS BLUE SHIELD
0891003	Medicaid	OH
3001160	Other	WV	WORKERS COMPENSATION
64699267	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	15916 (West Virginia)	Secondary
207R00000X	Internal Medicine	15916 (West Virginia)	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. Bradley Nine allows following entities to bill medicare on his behalf.

Entity Name	Greenbrier Emergency Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043

Entity Name	Charleston Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426

Entity Name	Allied West Virginia Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487109104 PECOS PAC ID: 8325326648 Enrollment ID: O20161020001514

Entity Name	Racine Observation Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588196851 PECOS PAC ID: 1254601578 Enrollment ID: O20170719003225

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. Bradley Nine 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
Bradley Nine, MD 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 Ph: () -	Bradley Nine, MD 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 Ph: (304) 388-5432

Reviews and Comments

Internal Medicine Doctors in Charleston, WV

Dr. Asif Rahman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304 Phone: 304-344-2900 Fax: 304-344-9385
David L Namay, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3411 B Noyes Avenue Se, Charleston, WV 25304 Phone: 304-720-3206 Fax: 304-720-3207
Joseph Jarrell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Laidley St Ste 605, Charleston, WV 25301 Phone: 304-720-7235 Fax: 304-720-7236
Samar Ryiad Sankari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1097 Fledderjohn Rd, Charleston, WV 25314 Phone: 304-720-1963 Fax: 304-720-1966
Brittain Mcjunkin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-347-1300
Rupali N. Sangrampurkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5848 Fax: 304-388-9654
Dr. Muhammad Abdalla Awidi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3415 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-8380 Fax: 304-388-8395

Bradley Nine, MD - Medicare Internal Medicine in Charleston, WV