Lashonda Lashay Bradley, FNP-C - Medicare Nurse Practitioner in Clarksdale, MS

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Lashonda Lashay Bradley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clarksdale, Mississippi. Her current practice location is 1967 Hospital Dr, Clarksdale, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 624-5481.

Lashonda Lashay Bradley is licensed to practice in Mississippi (license number 902111) 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 1124515663.

Contact Information

Lashonda Lashay Bradley, FNP-C
1967 Hospital Dr,
Clarksdale, MS 38614-7203
(662) 624-5481
(662) 621-1499

Map and Direction




Provider's Profile

Full NameLashonda Lashay Bradley
GenderFemale
SpecialityNurse Practitioner - Family
Location1967 Hospital Dr, Clarksdale, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124515663
  • Provider Enumeration Date: 04/19/2018
  • Last Update Date: 08/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042553570
  • Enrollment ID: I20190523001846

Medical Identifiers

Medical identifiers for Lashonda Lashay Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124515663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 902111 (Mississippi)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. Lashonda Lashay Bradley allows following entities to bill medicare on her behalf.
Entity NameInternal Medicine Clinic Of Clarksdale
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457554479
PECOS PAC ID: 9133291362
Enrollment ID: O20080703000483
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210520000556

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. Lashonda Lashay 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 AddressPractice Location Address
Lashonda Lashay Bradley, FNP-C
1967 Hospital Dr,
Clarksdale, MS 38614-7203

Ph: (662) 592-2038		Lashonda Lashay Bradley, FNP-C
1967 Hospital Dr,
Clarksdale, MS 38614-7203

Ph: (662) 624-5481

Reviews and Comments


Nurse Practitioner Nurses in Clarksdale, MS

Margaret Chandler Lewis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2245 N State St, Clarksdale, MS 38614
Phone: 662-627-4131    Fax: 662-627-4131
Mrs. Regina Denise Groner, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 619 S State St, Clarksdale, MS 38614
Phone: 662-966-1012    
Gwenevere Chew, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 340 Desoto Avenue Ext, Clarksdale, MS 38614
Phone: 662-741-2151    Fax: 662-741-2700
Anna Jones,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 220 Sunflower Ave, Clarksdale, MS 38614
Phone: 662-351-2035    Fax: 662-351-2045
Dr. Carleen Thompson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1402 Miller Dr, Clarksdale, MS 38614
Phone: 662-627-8694    
Chandra Patrice Holmes, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 619 S State St, Clarksdale, MS 38614
Phone: 662-966-1012    

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.