Charity Bradshaw, in Elk City, OK - Medicare Nurse Practitioner

Charity Bradshaw, is a medicare enrolled "Nurse Practitioner - Adult Health" in Elk City, Oklahoma. Her current practice location is 1710 W 3rd St Ste 101, Elk City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (505) 225-8600.

Charity Bradshaw is licensed to practice in Oklahoma (license number 215457) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538940432.

Contact Information

	Charity Bradshaw,
	1710 W 3rd St Ste 101, Elk City, OK 73644-5160
	(505) 225-8600
	(855) 583-1074

Map and Direction

Provider's Profile

Full Name	Charity Bradshaw
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1710 W 3rd St Ste 101, Elk City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538940432
Provider Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2365887163
Enrollment ID: I20240304001109

Medical Identifiers

Medical identifiers for Charity Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538940432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	215457 (Oklahoma)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	215457 (Oklahoma)	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. Charity Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Western Oklahoma Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629842000 PECOS PAC ID: 1456796259 Enrollment ID: O20240304000656

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. Charity 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
Charity Bradshaw, 1406 Walters Way, Elk City, OK 73644-2422 Ph: (505) 225-8600	Charity Bradshaw, 1710 W 3rd St Ste 101, Elk City, OK 73644-5160 Ph: (505) 225-8600

Reviews and Comments

Nurse Practitioner Nurses in Elk City, OK

Mrs. Kelleena Shanna Duran, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 S Eastern Ave, Elk City, OK 73644 Phone: 580-303-5890 Fax: 580-303-5891
Jacob Jackson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 W 1st St Ste 105b, Elk City, OK 73644 Phone: 580-225-2518 Fax: 580-225-3167
Nichole Marie Blackburn, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 N Main St, Elk City, OK 73644 Phone: 580-243-2200 Fax: 580-303-4712
Kasee Mcarthur, APRN C-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Clyde Ave, Elk City, OK 73644 Phone: 580-303-5025 Fax: 580-303-5030
Alicia K Price, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 W 3rd St, Elk City, OK 73644 Phone: 580-225-1290 Fax: 580-225-2178
Amanda Lynn Lafarlette, APRNC-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 N Randall Ave, Elk City, OK 73644 Phone: 580-243-2273 Fax: 580-243-2832
Joy Celsor, APRN, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 S Jefferson Ave, Elk City, OK 73644 Phone: 580-799-5471

Charity Bradshaw, - Medicare Nurse Practitioner in Elk City, OK