Phuong Diep Bradford, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Tampa, Florida. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Medical Service Association Inc and her current practice location is
4543 S Manhattan Ave Ste 101, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 544-8100.
Phuong Diep Bradford is licensed to practice in Florida (license number APRN11007879) 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 1982203915.
Physician's Profile
| Full Name | Phuong Diep Bradford |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 4543 S Manhattan Ave Ste 101, Tampa, Florida |
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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. |
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Medical Education and Training:
- Phuong Diep Bradford graduated from medical school in 2020
NPI Data:
- NPI Number: 1982203915
- Provider Enumeration Date: 10/21/2020
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921409244
- Enrollment ID: I20210624000849
Medical Identifiers
Medical identifiers for Phuong Diep Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982203915 | NPI | - | NPPES |
| RJJ5H | Other | FL | BLUE CROSS BLUE SHIELD |
| 111161400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | APRN11007879 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11007879 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Medical Service Association Inc | 6800790221 | 725 |
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. Phuong Diep Bradford allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Service Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130 |
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| Entity Name | Advanced Allergy & Asthma Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427161181
PECOS PAC ID: 5799860086
Enrollment ID: O20080311000516 |
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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. Phuong Diep Bradford 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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Phuong Diep Bradford, APRN
4543 S Manhattan Ave Ste 101,
Tampa, FL 33611-2330
Ph: () - | Phuong Diep Bradford, APRN
4543 S Manhattan Ave Ste 101,
Tampa, FL 33611-2330
Ph: (813) 544-8100 |
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