Taylor Noelle Bradshaw, CNP is a medicare enrolled "Nurse Practitioner" physician in Granite Falls, Minnesota. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Avera Mckennan, Osceola Community Hospital Inc and her current practice location is
345 10th Ave, Granite Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 564-6200.
Taylor Noelle Bradshaw is licensed to practice in Iowa (license number A166120) 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 1750044947.
Physician's Profile
| Full Name | Taylor Noelle Bradshaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 345 10th Ave, Granite Falls, Minnesota |
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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:
- Taylor Noelle Bradshaw graduated from medical school in 2021
NPI Data:
- NPI Number: 1750044947
- Provider Enumeration Date: 10/15/2021
- Last Update Date: 07/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022402254
- Enrollment ID: I20220303001293
Medical Identifiers
Medical identifiers for Taylor Noelle Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750044947 | NPI | - | NPPES |
| 11327 | Other | MN | 11327 |
| A166120 | Other | IA | IOWA BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | A166120 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | A166120 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Avera Mckennan | 0345157103 | 927 |
| Osceola Community Hospital Inc | 5799692372 | 6 |
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. Taylor Noelle Bradshaw allows following entities to bill medicare on her behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336111962 PECOS PAC ID: 0345157103 Enrollment ID: O20040206000384 |
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| Entity Name | Osceola Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780751222 PECOS PAC ID: 5799692372 Enrollment ID: O20040310001378 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191217001453 |
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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. Taylor Noelle Bradshaw 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 |
Taylor Noelle Bradshaw, CNP 218 2nd Ave, Little Rock, IA 51243-1001 Ph: (515) 975-1095 | Taylor Noelle Bradshaw, CNP 345 10th Ave, Granite Falls, MN 56241-1442 Ph: (320) 564-6200 |
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