| Dr Mark Bradshaw, MD | |
|
345 N Riverview St Ste 412, Wichita, KS 67203-4202 | |
| (551) 295-8223 | |
| Not Available |
| Full Name | Dr Mark Bradshaw |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 345 N Riverview St Ste 412, Wichita, Kansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316107428 | NPI | - | NPPES |
| 003112987D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 066574 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 003457 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Marietta, GA | Home health agency |
| Visiting Nurse Health System | Atlanta, GA | Home health agency |
| Encompass Health Home Health | Columbus, GA | Home health agency |
| Kindred At Home | Peachtree city, GA | Home health agency |
| Interim Healthcare Of Atlanta Inc | Atlanta, GA | Home health agency |
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Brightmoor Health Care, Inc | Griffin, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Hospitalist Physicians Llc | 1951299163 | 396 |
| Healthy Ever After Inc | 2769620715 | 2 |
| Ennoble Hc Dmv Llc | 9032517925 | 80 |
| Mobile Medical Ii Llc | 4284175589 | 14 |
| Ennoble Hc Nj Pc | 0345638185 | 82 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Piedmont Hospitalist Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820 |
| Entity Name | Healthy Ever After Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285988550 PECOS PAC ID: 2769620715 Enrollment ID: O20130603000327 |
| Entity Name | Resurgia Health Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851702153 PECOS PAC ID: 2668699760 Enrollment ID: O20140813002730 |
| Entity Name | Ennoble Hc Dmv Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211029000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Bradshaw, MD 2 University Plz Ste 204, Hackensack, NJ 07601-6211 Ph: (404) 367-3014 | Dr Mark Bradshaw, MD 345 N Riverview St Ste 412, Wichita, KS 67203-4202 Ph: (551) 295-8223 |
Carrie E Cohen, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 775 N Edwards Ave, Wichita, KS 67203 Phone: 316-858-1111 Fax: 316-946-5293 | |
Dr. John J Womack, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-685-1111 | |
Jane Kamuren, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 N Saint Francis St, Wichita, KS 67214 Phone: 316-268-8105 Fax: 316-291-7980 | |
Geetika Mohan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3311 E Murdock St, Wichita, KS 67208 Phone: 316-268-6976 Fax: 316-291-7897 | |
Frank Bysfield, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 S Market St Ste 2c, Wichita, KS 67202 Phone: 316-755-0144 Fax: 844-274-1204 | |
Dr. Marisa J Flynn, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-685-1111 |