Jerri Bradshaw, PA-C is a medicare enrolled "Physician Assistant" in Lone Grove, Oklahoma. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mercy Clinic Oklahoma Communities and her current practice location is
16370 Us Highway 70, Lone Grove, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 224-2862.
Jerri Bradshaw is licensed to practice in Oklahoma (license number 1402) 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 1609893676.
Provider's Profile
| Full Name | Jerri Bradshaw |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 16370 Us Highway 70, Lone Grove, Oklahoma |
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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. |
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Medical Education and Training:
- Jerri Bradshaw graduated from nursing school in 2004
NPI Data:
- NPI Number: 1609893676
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 03/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 5698700755
- Enrollment ID: I20051118000437
Medical Identifiers
Medical identifiers for Jerri Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609893676 | NPI | - | NPPES |
| 200076780 | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1402 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Clinic Oklahoma Communities | 1153468921 | 647 |
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. Jerri 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 |
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Jerri Bradshaw, PA-C
Po Box 776084,
Chicago, IL 60677-6084
Ph: () - | Jerri Bradshaw, PA-C
16370 Us Highway 70,
Lone Grove, OK 73443-6535
Ph: (580) 224-2862 |
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