John Andrew Bradshaw, MD in Ithaca, NY

John Andrew Bradshaw, MD is a medicare enrolled "Pediatrics" physician in Ithaca, New York. His current practice location is 10 Graham Rd W, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 257-2188.

John Andrew Bradshaw is licensed to practice in New York (license number 216716) 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 1124000518.

Contact Information

	John Andrew Bradshaw, MD
	10 Graham Rd W, Ithaca, NY 14850-1055
	(607) 257-2188
	(607) 266-7341

Map and Direction

Physician's Profile

Full Name	John Andrew Bradshaw
Gender	Male
Speciality	Pediatrics
Location	10 Graham Rd W, Ithaca, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124000518
Provider Enumeration Date: 11/19/2005
Last Update Date: 09/21/2012

Medicare PECOS Information:

PECOS PAC ID: 2567472954
Enrollment ID: I20160406000052

Medical Identifiers

Medical identifiers for John Andrew Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124000518	NPI	-	NPPES
10867	Other	NY	TOTALCARE/MANAGED MA
000136319	Other		BLUE SHIELD/HMO/EXCELLUS
02223650	Medicaid	NY
00920290002	Other		HEALTH NOW
V018315	Other		TRICARE
161010811	Other		RMSCO
161010811	Other		COMMERCIAL CARRIERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	216716 (New York)	Primary
2080P0208X	Pediatrics - Pediatric Infectious Diseases	216716 (New York)	Secondary

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. John Andrew Bradshaw allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. John Andrew 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
John Andrew Bradshaw, MD 10 Graham Rd W, Ithaca, NY 14850-1055 Ph: (607) 257-2188	John Andrew Bradshaw, MD 10 Graham Rd W, Ithaca, NY 14850-1055 Ph: (607) 257-2188

Reviews and Comments

Pediatrics Doctors in Ithaca, NY

Dr. Srisatish Devapatla, M.D., FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4496 Fax: 607-274-4232
Dr. Ramesh Vidavalur, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4585
Oyinade Akinyede, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188
Dhruti Naik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858 Fax: 607-257-1718
Andrea G Torrado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 Fax: 607-266-7341
Audrey H Desilva, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 Fax: 607-266-7341

John Andrew Bradshaw, MD - Medicare Pediatrics in Ithaca, NY