Kailin E Bradley, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Kailin E Bradley, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 10058 Baymeadows Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 450-6870.

Kailin E Bradley is licensed to practice in Florida (license number APRN11037266) 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 1407661697.

Contact Information

	Kailin E Bradley, APRN
	10058 Baymeadows Rd, Jacksonville, FL 32256-7177
	(904) 450-6870
	Not Available

Map and Direction

Provider's Profile

Full Name	Kailin E Bradley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10058 Baymeadows Rd, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407661697
Provider Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 9830619782
Enrollment ID: I20250221001063

Medical Identifiers

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

Identifier	Type	State	Issuer
1407661697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11037266 (Florida)	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. Kailin E Bradley allows following entities to bill medicare on her behalf.

Entity Name	St Vincent's Full Service Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20130220000322

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. Kailin E Bradley 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
Kailin E Bradley, APRN 12688 Cacao Tree Trl, Jacksonville, FL 32218-3064 Ph: () -	Kailin E Bradley, APRN 10058 Baymeadows Rd, Jacksonville, FL 32256-7177 Ph: (904) 450-6870

Reviews and Comments

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Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300
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Kailin E Bradley, APRN - Medicare Nurse Practitioner in Jacksonville, FL