Stephen Jerome Bradley, MD in Detroit, MI

Stephen Jerome Bradley, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Detroit, Michigan. His current practice location is 4160 John R St, Ste 615, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-4195.

Stephen Jerome Bradley is licensed to practice in Michigan (license number 4301050040) 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 1164455028.

Contact Information

	Stephen Jerome Bradley, MD
	4160 John R St, Ste 615, Detroit, MI 48201-2020
	(313) 745-4195
	(313) 745-8669

Map and Direction

Physician's Profile

Full Name	Stephen Jerome Bradley
Gender	Male
Speciality	Surgery - Surgical Critical Care
Location	4160 John R St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164455028
Provider Enumeration Date: 07/07/2006
Last Update Date: 10/17/2016

Medicare PECOS Information:

PECOS PAC ID: 6800869397
Enrollment ID: I20150202001265

Medical Identifiers

Medical identifiers for Stephen Jerome Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164455028	NPI	-	NPPES
31523400	Medicaid	WI
020017324	Other		RAILROAD MEDICARE
036078462	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	4301050040 (Michigan)	Secondary
2086S0102X	Surgery - Surgical Critical Care	4301050040 (Michigan)	Primary

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. Stephen Jerome Bradley allows following entities to bill medicare on his behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Stephen Jerome Bradley 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
Stephen Jerome Bradley, MD 1560 E Maple Rd, Suite 400 - Credentialing Department, Troy, MI 48083-1138 Ph: (313) 745-4195	Stephen Jerome Bradley, MD 4160 John R St, Ste 615, Detroit, MI 48201-2020 Ph: (313) 745-4195

Reviews and Comments

Surgery Doctors in Detroit, MI

Kaitlyn Dobesh, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Dr. Bellal Ali Joseph, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3056 Fax: 313-916-9920
Charles Edward Lucas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201 Phone: 313-745-4195 Fax: 313-993-8669
Christopher Paul Cassell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000
Mitchell Ross Weaver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3156 Fax: 313-916-3023
Alexander Marinica, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr Ste 121, Detroit, MI 48235 Phone: 313-966-3222
Dr. Rachel Wobig, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-5071 Fax: 313-916-9920

Stephen Jerome Bradley, MD - Medicare Surgery in Detroit, MI