Dr Bradley Noel Greenhaw, MD is a medicare enrolled "Dermatology" physician in Tupelo, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Center Of North Ms Pa and his current practice location is
516 Pegram Dr, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 844-6272.
Dr Bradley Noel Greenhaw is licensed to practice in Mississippi (license number 23810) 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 1215249131.
Physician's Profile
| Full Name | Dr Bradley Noel Greenhaw |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 14 Years |
|---|
| Location | 516 Pegram Dr, Tupelo, Mississippi |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Bradley Noel Greenhaw attended and graduated from University Of Mississippi School Of Medicine in 2010
NPI Data:
- NPI Number: 1215249131
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 05/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 9335461326
- Enrollment ID: I20150617000693
Medical Identifiers
Medical identifiers for Dr Bradley Noel Greenhaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215249131 | NPI | - | NPPES |
| T-2318 | Other | MS | TEMPORART MS MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 23810 (Mississippi) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 23810 (Mississippi) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 23810 (Mississippi) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermatology Center Of North Ms Pa | 7416006986 | 5 |
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. Dr Bradley Noel Greenhaw allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Center Of North Ms Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053491605
PECOS PAC ID: 7416006986
Enrollment ID: O20090513000267 |
|---|
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. Dr Bradley Noel Greenhaw 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 |
|---|
Dr Bradley Noel Greenhaw, MD
516 Pegram Dr,
Tupelo, MS 38801-6347
Ph: (662) 844-6272 | Dr Bradley Noel Greenhaw, MD
516 Pegram Dr,
Tupelo, MS 38801-6347
Ph: (662) 844-6272 |
Reviews and Comments