Bradley Thomas Corbin, - Medicare Obstetrics & Gynecology in Orange Park, FL

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Bradley Thomas Corbin, is a medicare enrolled "Obstetrics & Gynecology" physician in Orange Park, Florida. His current practice location is 1825 Kingsley Ave Ste 390, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 639-2260.

Bradley Thomas Corbin is licensed to practice in Florida (license number ME158618) 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 1104259548.

Contact Information

Bradley Thomas Corbin,
1825 Kingsley Ave Ste 390,
Orange Park, FL 32073-4484
(904) 639-2260
(904) 272-1986

Map and Direction




Physician's Profile

Full NameBradley Thomas Corbin
GenderMale
SpecialityObstetrics & Gynecology
Location1825 Kingsley Ave Ste 390, Orange Park, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104259548
  • Provider Enumeration Date: 08/20/2013
  • Last Update Date: 09/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284963802
  • Enrollment ID: I20220829001104

Medical Identifiers

Medical identifiers for Bradley Thomas Corbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104259548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology ME158618 (Florida)Primary
207V00000XObstetrics & Gynecology 5171975 (Idaho)Secondary

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 Thomas Corbin allows following entities to bill medicare on his behalf.
Entity NameObhg Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699273862
PECOS PAC ID: 0840551750
Enrollment ID: O20180309000278

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 Thomas Corbin 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 AddressPractice Location Address
Bradley Thomas Corbin,
1825 Kingsley Ave Ste 390,
Orange Park, FL 32073-4484

Ph: (904) 639-2260		Bradley Thomas Corbin,
1825 Kingsley Ave Ste 390,
Orange Park, FL 32073-4484

Ph: (904) 639-2260

Reviews and Comments


Obstetrics & Gynecology Doctors in Orange Park, FL

Dr. Kathi A. Aultman, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1680 Eagle Harbor Pkwy, Suite A, Orange Park, FL 32003
Phone: 904-264-9555    Fax: 904-215-7960
Miss Angela Sue Collier, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1680 Eagle Harbor Pkwy Ste A, Orange Park, FL 32003
Phone: 904-264-9555    Fax: 904-215-7960
Dr. Jessica L Marshall-ayuso, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1560 Kingsley Ave Ste 4, Orange Park, FL 32073
Phone: 904-264-1628    
Arjav A. Shah, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1680 Eagle Harbor Pkwy Ste A, Orange Park, FL 32003
Phone: 904-264-9555    Fax: 904-215-7960
Dr. Kristin Elizabeth Briscoe, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1887 Kingsley Ave Ste 1500, Orange Park, FL 32073
Phone: 904-633-0880    
Haesook Marino, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1825 Kingsley Ave Ste 390, Orange Park, FL 32073
Phone: 904-639-2260    Fax: 904-272-1986

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.