| Jonathan F Bradley, MD | |
|
205 N East Ave, Jackson, MI 49201-1753 | |
| (517) 788-4800 | |
| (517) 796-6410 |
| Full Name | Jonathan F Bradley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 205 N East Ave, Jackson, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063463552 | NPI | - | NPPES |
| 104866256 | Medicaid | MI | |
| P00315403 | Other | MI | RR MEDIACRE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301074228 (Michigan) | Primary |
| 207P00000X | Emergency Medicine | 01081482A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Professionals Of Indiana Pc | 4183604150 | 80 |
| Clarksville Emergency Group Pc | 6507277423 | 132 |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Elite Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456 |
| Entity Name | Community Hospital Of Lagrange County, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
| Entity Name | App Of Indiana Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
| Entity Name | Clarksville Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Entity Name | Clarksville Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811629546 PECOS PAC ID: 3476937756 Enrollment ID: O20220906001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan F Bradley, MD Depatment 272801, Po Box 67000, Detroit, MI 48267-2728 Ph: (517) 841-6913 | Jonathan F Bradley, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4800 |
Ross Warren Kynast, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 Fax: 248-893-6952 | |
Kevin Killian, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Deepa S Macha, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410 | |
Dr. Gregory W Fuller, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1006 Airport Rd, Jackson, MI 49202 Phone: 517-784-6663 Fax: 517-787-7976 | |
Jared Tippett, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Dr. Brett Mcknight Russell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 |