| Mary Beth Bradenburg, | |
|
870 E Baltimore Pike, Kennett Square, PA 19348-1842 | |
| (610) 444-9083 | |
| Not Available |
| Full Name | Mary Beth Bradenburg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 870 E Baltimore Pike, Kennett Square, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952007460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | LG-0012472 (Delaware) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP026461 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson University Physicians | 7911819180 | 1393 |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Entity Name | Minuteclinic Video Virtual Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200429001777 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Beth Bradenburg, 870 E Baltimore Pike, Kennett Square, PA 19348-1842 Ph: (610) 444-9083 | Mary Beth Bradenburg, 870 E Baltimore Pike, Kennett Square, PA 19348-1842 Ph: (610) 444-9083 |
Daisy Lara, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 West Cypress St, Kennett Square, PA 19348 Phone: 610-444-8084 | |
Chun Du, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1660 E Street Rd, Kennett Square, PA 19348 Phone: 610-388-1441 | |
Veronica Krystel Sanchez Ocasio, FNP-BC , MSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 W Cypress St, Kennett Square, PA 19348 Phone: 610-444-7550 Fax: 610-444-6407 | |
Reina Mcandrew, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 870 E Baltimore Pike, Kennett Square, PA 19348 Phone: 866-389-2727 | |
Ms. Carlie Ann Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 870 E Baltimore Pike, Kennett Square, PA 19348 Phone: 866-389-2727 | |
Jessica Feinerman Fuentes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 W Cypress St, Kennett Square, PA 19348 Phone: 610-444-8084 | |
Lorraine Bell, DRPH, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Old Forge Ln, #302, Kennett Square, PA 19348 Phone: 484-788-8000 |