Bradley K Becker, DO, PC is a medicare enrolled "Plastic Surgery" physician in Glendale, Arizona. His current practice location is
18555 N 79th Ave Ste B102, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 610-9111.
Bradley K Becker is licensed to practice in Arizona (license number 3803) 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 1245307396.
Physician's Profile
| Full Name | Bradley K Becker |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 18555 N 79th Ave Ste B102, Glendale, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245307396
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 01/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 2567491509
- Enrollment ID: I20050812000303
Medical Identifiers
Medical identifiers for Bradley K Becker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245307396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 3803 (Arizona) | 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 K Becker allows following entities to bill medicare on his behalf.
| Entity Name | Arizona Associates In Dermatology And Cosmetic Surgery, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659467397
PECOS PAC ID: 0840234902
Enrollment ID: O20050620000400 |
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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 K Becker 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 |
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Bradley K Becker, DO, PC
18555 N 79th Ave Ste B102,
Glendale, AZ 85308-8372
Ph: (602) 867-1302 | Bradley K Becker, DO, PC
18555 N 79th Ave Ste B102,
Glendale, AZ 85308-8372
Ph: (602) 610-9111 |
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