Stephen R Braddock, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in St. Louis, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Medical Genetics And Genomics. He is a member of the group practice Ssm Health Care Group and his current practice location is
1465 S Grand Blvd, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 577-5639.
Stephen R Braddock is licensed to practice in Missouri (license number 106085) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811934490.
Physician's Profile
| Full Name | Stephen R Braddock |
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| Gender | Male |
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| Speciality | Medical Genetics And Genomics |
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| Experience | 42 Years |
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| Location | 1465 S Grand Blvd, St. Louis, Missouri |
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| Accepts Medicare Assignments | Yes. He 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:
- Stephen R Braddock attended and graduated from University Of Missouri, Columbia School Of Medicine in 1984
NPI Data:
- NPI Number: 1811934490
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 01/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062414717
- Enrollment ID: I20100817001459
Medical Identifiers
Medical identifiers for Stephen R Braddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811934490 | NPI | - | NPPES |
| 762132 | Medicaid | VA | |
| 207684309 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD106085 (Missouri) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 106085 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ssm Health Care Group | 0143608372 | 802 |
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 R Braddock allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Health Care Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655 |
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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. Stephen R Braddock 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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Stephen R Braddock, MD
1465 S Grand Blvd,
Saint Louis, MO 63104-1003
Ph: (314) 577-5639 | Stephen R Braddock, MD
1465 S Grand Blvd,
St. Louis, MO 63104-1003
Ph: (314) 577-5639 |
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