Bradford Nathanial Whitehead, NP in Jeffersonville, IN

Bradford Nathanial Whitehead, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jeffersonville, Indiana. His current practice location is 1036 Sharon Dr, Jeffersonville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 280-2080.

Bradford Nathanial Whitehead is licensed to practice in Indiana (license number 71006859A) 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 1063950335.

Contact Information

	Bradford Nathanial Whitehead, NP
	1036 Sharon Dr, Jeffersonville, IN 47130-4522
	(812) 280-2080
	Not Available

Map and Direction

Provider's Profile

Full Name	Bradford Nathanial Whitehead
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1036 Sharon Dr, Jeffersonville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063950335
Provider Enumeration Date: 02/07/2017
Last Update Date: 02/07/2017

Medicare PECOS Information:

PECOS PAC ID: 9335407527
Enrollment ID: I20250206002125

Medical Identifiers

Medical identifiers for Bradford Nathanial Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063950335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71006859A (Indiana)	Primary
363LP2300X	Nurse Practitioner - Primary Care	71006859A (Indiana)	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. Bradford Nathanial Whitehead allows following entities to bill medicare on his behalf.

Entity Name	Twin Lakes Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508100447 PECOS PAC ID: 4082948070 Enrollment ID: O20190625002494

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. Bradford Nathanial Whitehead 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
Bradford Nathanial Whitehead, NP 1036 Sharon Dr, Jeffersonville, IN 47130-4522 Ph: (812) 280-2080	Bradford Nathanial Whitehead, NP 1036 Sharon Dr, Jeffersonville, IN 47130-4522 Ph: (812) 280-2080

Reviews and Comments

Nurse Practitioner Nurses in Jeffersonville, IN

Lauren Nicole Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Hospital Blvd, Jeffersonville, IN 47130 Phone: 812-282-3899 Fax: 812-282-4172
Elissa Vaughn, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-6606
Brandy Michelle Cook, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-284-2273
Sara Bennett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Noahs Ln Bldg 215, Jeffersonville, IN 47130 Phone: 812-284-1760 Fax: 812-282-4316
Virginia L Nisbet, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Spring St Ste 200, Jeffersonville, IN 47130 Phone: 812-288-8360 Fax: 812-288-8375
Amy Irene Surber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Clinic #3975, 1002 Spring Street, Jeffersonville, IN 47130 Phone: 812-282-2256

Bradford Nathanial Whitehead, NP - Medicare Nurse Practitioner in Jeffersonville, IN