Michelle Rae Braddy, MD is a medicare enrolled "Family Medicine" physician in Dieterich, Illinois. Her current practice location is
203 S Main St, Dieterich, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 925-5730.
Michelle Rae Braddy is licensed to practice in Illinois (license number 036120332) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619068061.
Physician's Profile
Full Name | Michelle Rae Braddy |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 203 S Main St, Dieterich, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michelle Rae Braddy attended and graduated from in
NPI Data:
- NPI Number: 1619068061
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michelle Rae Braddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619068061 | NPI | - | NPPES |
14D0921285 | Other | IL | CLIA ID NUMBER |
036120332 | Other | IL | ILLINOIS PHYSICIAN LICENSE |
371391171005 | Medicaid | IL | |
930280 | Other | IL | HEALTHLINK |
2523247 | Other | IL | BLUE CROSS BLUE SHIELD |
P00790343 | Other | IL | RAILROAD MEDICARE |
036120332 | Medicaid | IL | |
336082411 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
371391171005 | Other | IL | MEDICAID RURAL HEALTH |
561920 | Other | IL | MEDICARE GROUP PTAN |
151351 | Other | IL | HEALTH ALLIANCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036120332 (Illinois) | Primary |
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. Michelle Rae Braddy 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 |
Michelle Rae Braddy, MD 1207 Network Centre Dr, Suite 3, Effingham, IL 62401-4632 Ph: (217) 347-2707 | Michelle Rae Braddy, MD 203 S Main St, Dieterich, IL 62424-1128 Ph: (217) 925-5730 |
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