| 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 - Family | 
| Location | 870 E Baltimore Pike, Kennett Square, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |