Dr Macon Samuel Bradley, DO - Medicare Emergency Medicine in Russell Springs, KY

Dr Macon Samuel Bradley, DO is a medicare enrolled "Emergency Medicine" physician in Russell Springs, Kentucky. His current practice location is 153 Dowell Rd, Russell Springs, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 866-4141.

Dr Macon Samuel Bradley is licensed to practice in Kentucky (license number 03294) 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 1851521744.

Contact Information

Dr Macon Samuel Bradley, DO
153 Dowell Rd,
Russell Springs, KY 42642-4579
(270) 866-4141
Not Available

Map and Direction




Physician's Profile

Full NameDr Macon Samuel Bradley
GenderMale
SpecialityEmergency Medicine
Location153 Dowell Rd, Russell Springs, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851521744
  • Provider Enumeration Date: 07/25/2009
  • Last Update Date: 08/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5395979256
  • Enrollment ID: I20131008000808

Medical Identifiers

Medical identifiers for Dr Macon Samuel Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851521744NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 03294 (Kentucky)Secondary
207QA0401XFamily Medicine - Addiction Medicine 03294 (Kentucky)Secondary
207P00000XEmergency Medicine 03294 (Kentucky)Primary

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 Macon Samuel Bradley allows following entities to bill medicare on his behalf.
Entity NameRussell County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437245842
PECOS PAC ID: 6204887243
Enrollment ID: O20050217000172
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameApp Of Kentucky Ed, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497157341
PECOS PAC ID: 0749502862
Enrollment ID: O20141201000389
Entity NameEmergency Medicine Services Of Ky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033816194
PECOS PAC ID: 9335505569
Enrollment ID: O20230515000823

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 Macon Samuel 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 AddressPractice Location Address
Dr Macon Samuel Bradley, DO
P.o. Box 1610, Dowell Rd,
Russell Springs, KY 42642

Ph: (270) 866-4141
Dr Macon Samuel Bradley, DO
153 Dowell Rd,
Russell Springs, KY 42642-4579

Ph: (270) 866-4141

Reviews and Comments


Emergency Medicine Doctors in Russell Springs, KY

John D Kilgallin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 404 Steve Dr, Russell Springs, KY 42642
Phone: 270-866-3161    Fax: 270-866-3163

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.