Bradley W Wine, MD - Medicare Family Practice in Valdez, AK

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Bradley W Wine, MD is a medicare enrolled "Emergency Medicine" physician in Valdez, Alaska. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeast Alaska Regional Health Consortium, City Of Seward, City Of Valdez and his current practice location is 911 Meals Ave, Valdez, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 835-2249.

Bradley W Wine is licensed to practice in Washington (license number MD61653822) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578126561.

Contact Information

Bradley W Wine, MD
911 Meals Ave,
Valdez, AK 99686-0046
(907) 835-2249
Not Available

Map and Direction




Physician's Profile

Full NameBradley W Wine
GenderMale
SpecialityFamily Practice
Experience7 Years
Location911 Meals Ave, Valdez, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley W Wine attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2019
  NPI Data:
  • NPI Number: 1578126561
  • Provider Enumeration Date: 04/16/2019
  • Last Update Date: 07/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0648505537
  • Enrollment ID: I20220726000380

Medical Identifiers

Medical identifiers for Bradley W Wine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578126561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD61653822 (Washington)Primary
207Q00000XFamily Medicine 913315 (Alaska)Secondary
207Q00000XFamily Medicine MD.MD61653822 (Washington)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Valdez Medical CenterValdez, AKHospital
Providence Seward Medical CenterSeward, AKHospital
Southeast Alaska Regional Health ConsortiumSitka, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Alaska Regional Health Consortium1456265362373
City Of Seward246636228018
City Of Valdez357751469414

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 W Wine allows following entities to bill medicare on his behalf.
Entity NameSoutheast Alaska Regional Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631
Entity NameBristol Bay Area Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235291246
PECOS PAC ID: 5890699920
Enrollment ID: O20031120000998

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 W Wine 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 W Wine, MD
6615 Hilltop Ln Sw,
Lakewood, WA 98499-1426

Ph: (316) 516-6170		Bradley W Wine, MD
911 Meals Ave,
Valdez, AK 99686-0046

Ph: (907) 835-2249

Reviews and Comments



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.