| Bradley Alan Tait, MD | |
|
Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-0000 | |
| (315) 772-2778 | |
| Not Available |
| Full Name | Bradley Alan Tait |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | Usa Meddac, Fort Drum, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770046997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 317171 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 10772 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| Gouverneur Hospital | Gouverneur, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Medical Associates New York Pc | 7618310368 | 75 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Gouverneur Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
| Entity Name | Massena Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
| Entity Name | Physicians Medical Associates New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073386421 PECOS PAC ID: 7618310368 Enrollment ID: O20240209000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Alan Tait, MD Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-0000 Ph: (315) 772-2778 | Bradley Alan Tait, MD Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-0000 Ph: (315) 772-2778 |
Dr. Isaac P Mills, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Dr. Jin Pyun, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10506 2nd St, Fort Drum, NY 13602 Phone: 315-772-8443 | |
Dr. Soham Parikh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Dr. Nicholas Maikai Studer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-6976 | |
Spencer Kelley Heggers, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-5505 | |
Dr. Andrew Jerome Kosmowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Mt Belvedere Blvd, Usa/meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 |