Jerri Bradshaw, PA-C - Medicare Physician Assistant in Ardmore, OK

Jerri Bradshaw, PA-C is a medicare enrolled "Physician Assistant" in Ardmore, Oklahoma. She graduated from nursing school in 2004 and has 20 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 1306 12th Ave Nw, Ardmore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 223-6003.

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.

Contact Information

Jerri Bradshaw, PA-C
1306 12th Ave Nw,
Ardmore, OK 73401-1285
(580) 223-6003
(580) 223-6999

Map and Direction




Provider's Profile

Full NameJerri Bradshaw
GenderFemale
SpecialityPhysician Assistant
Experience20 Years
Location1306 12th Ave Nw, Ardmore, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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: 03/22/2016
  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.
IdentifierTypeStateIssuer
1609893676NPI-NPPES
200076780MedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1402 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ideal Home Care, LpArdmore, OKHome health agency
Elara Caring XxiiiAda, OKHome health agency
Mercy Hospital Ardmore, IncArdmore, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Oklahoma Communities1153468921484

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 AddressPractice Location Address
Jerri Bradshaw, PA-C
3776 Dogwood Rd,
Ardmore, OK 73401-7953

Ph: (580) 302-4447
Jerri Bradshaw, PA-C
1306 12th Ave Nw,
Ardmore, OK 73401-1285

Ph: (580) 223-6003

Reviews and Comments


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Mrs. Daphnee Marie Jones, PA-C
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Phone: 580-226-0543    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.