Dr Keith Bradley, MD is a medicare enrolled "Emergency Medicine" physician in Fairfield, Connecticut. He went to Tulane University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice City Medical Of Upper East Side Pllc and his current practice location is
66 Lilalyn Dr, Fairfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 767-6363.
Dr Keith Bradley is licensed to practice in Connecticut (license number 023622) 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 1407201247.
Physician's Profile
| Full Name | Dr Keith Bradley |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 46 Years |
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| Location | 66 Lilalyn Dr, Fairfield, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Keith Bradley attended and graduated from Tulane University School Of Medicine in 1978
NPI Data:
- NPI Number: 1407201247
- Provider Enumeration Date: 04/29/2016
- Last Update Date: 04/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 5294135158
- Enrollment ID: I20210615000083
Medical Identifiers
Medical identifiers for Dr Keith Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407201247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 023622 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Medical Of Upper East Side Pllc | 0648465039 | 759 |
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 Keith Bradley allows following entities to bill medicare on his behalf.
| Entity Name | City Medical Of Upper East Side Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052 |
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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 Keith Bradley 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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Dr Keith Bradley, MD
66 Lilalyn Dr,
Fairfield, CT 06825-1310
Ph: (203) 767-6363 | Dr Keith Bradley, MD
66 Lilalyn Dr,
Fairfield, CT 06825-1310
Ph: (203) 767-6363 |
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