Bradley Reatherford, in Peoria, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Bradley Reatherford, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Peoria, Illinois. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice North American Partners In Anesthesia Illinois Llc and his current practice location is 221 Northeast Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 672-5654.

Bradley Reatherford is licensed to practice in Illinois (license number 209007657) 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 1326288812.

Contact Information

	Bradley Reatherford,
	221 Northeast Ave, Peoria, IL 61636-0001
	(309) 672-5654
	Not Available

Map and Direction

Provider's Profile

Full Name	Bradley Reatherford
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	221 Northeast Ave, Peoria, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley Reatherford graduated from nursing school in 2009

NPI Data:

NPI Number: 1326288812
Provider Enumeration Date: 02/24/2009
Last Update Date: 07/12/2009

Medicare PECOS Information:

PECOS PAC ID: 2769535764
Enrollment ID: I20090807000334

Medical Identifiers

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

Identifier	Type	State	Issuer
1326288812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041334740 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209007657 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Medical Center	Bloomington, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North American Partners In Anesthesia Illinois Llc	1052576519	286

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. Bradley Reatherford allows following entities to bill medicare on his behalf.

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164474755 PECOS PAC ID: 1355259714 Enrollment ID: O20070924000481

Entity Name	North American Partners In Anesthesia Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534

Entity Name	Tcom Specialty Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144712563 PECOS PAC ID: 8527318831 Enrollment ID: O20180907001266

Entity Name	Vitalz Anesthesia Unlimited Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013474071 PECOS PAC ID: 8224379383 Enrollment ID: O20190418000548

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. Bradley Reatherford 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
Bradley Reatherford, 1652 Belclare Rd, Normal, IL 61761-4925 Ph: (217) 454-0780	Bradley Reatherford, 221 Northeast Ave, Peoria, IL 61636-0001 Ph: (309) 672-5654

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Peoria, IL

Melissa Terhark, C.R.N.A Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615 Phone: 309-692-5394 Fax: 309-692-2538
Mathew J Maupin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 N. Knoxville Suite 416, Peoria, IL 61528 Phone: 309-692-7246 Fax: 309-692-7226
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550
Dr. Samantha Mae Aufderhaar, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538
Diana Lynn Lowe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538

Bradley Reatherford, - Medicare Certified Registered Nurse Anesthetist (crna) in Peoria, IL