Dr Elizabeth Pleasants Bradshaw, MD is a medicare enrolled "Pediatrics" physician in Wynne, Arkansas. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice St Bernards Physician Clinics Inc and her current practice location is
710 Falls Blvd S, Wynne, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 238-2321.
Dr Elizabeth Pleasants Bradshaw is licensed to practice in Arkansas (license number E4904) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235295866.
Physician's Profile
Full Name | Dr Elizabeth Pleasants Bradshaw |
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Gender | Female |
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Speciality | Pediatric Medicine |
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Experience | 21 Years |
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Location | 710 Falls Blvd S, Wynne, Arkansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Elizabeth Pleasants Bradshaw graduated from medical school in 2003
NPI Data:
- NPI Number: 1235295866
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 03/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 1052504131
- Enrollment ID: I20200325000526
Medical Identifiers
Medical identifiers for Dr Elizabeth Pleasants Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235295866 | NPI | - | NPPES |
E4904 | Other | AR | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | E4904 (Arkansas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Bernards Physician Clinics Inc | 7012311269 | 172 |
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 Elizabeth Pleasants Bradshaw allows following entities to bill medicare on her behalf.
Entity Name | Wynne Physicians Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710517677 PECOS PAC ID: 2769810464 Enrollment ID: O20200317000293 |
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Entity Name | St Bernards Physician Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
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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. Dr Elizabeth Pleasants Bradshaw 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 Elizabeth Pleasants Bradshaw, MD 710 Falls Blvd S, Wynne, AR 72396-3514 Ph: (870) 238-2321 | Dr Elizabeth Pleasants Bradshaw, MD 710 Falls Blvd S, Wynne, AR 72396-3514 Ph: (870) 238-2321 |
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