Mr Bradley Gail Jellerichs, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Tukwila, Washington. His current practice location is
200 Andover Park E Ste 8, Tukwila, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 575-3136.
Mr Bradley Gail Jellerichs is licensed to practice in Washington (license number AP60128753) 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 1841436417.
Physician's Profile
| Full Name | Mr Bradley Gail Jellerichs |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 200 Andover Park E Ste 8, Tukwila, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841436417
- Provider Enumeration Date: 12/31/2008
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436335296
- Enrollment ID: I20110512000658
Medical Identifiers
Medical identifiers for Mr Bradley Gail Jellerichs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841436417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0401X | Family Medicine - Addiction Medicine | 60128753 (Washington) | Secondary |
| 163W00000X | Registered Nurse | RN 60023039 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60128753 (Washington) | Primary |
| 207N00000X | Dermatology | 60128753 (Washington) | 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. Mr Bradley Gail Jellerichs allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care Of Washington, P.s. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073096871
PECOS PAC ID: 8022356617
Enrollment ID: O20190206000846 |
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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. Mr Bradley Gail Jellerichs 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 |
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Mr Bradley Gail Jellerichs, ARNP
1100 Bellevue Way Ne, Ste 8a Pmb 324,
Bellevue, WA 98004-5721
Ph: (425) 835-3394 | Mr Bradley Gail Jellerichs, ARNP
200 Andover Park E Ste 8,
Tukwila, WA 98188-2938
Ph: (206) 575-3136 |
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