Mr Bradley Wayne Fraley, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Summersville, West Virginia. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Triangle Anesthesia Group, Psc and his current practice location is
400 Fairview Heights Rd, Summersville, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 872-8617.
Mr Bradley Wayne Fraley is licensed to practice in West Virginia (license number 60153) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619163839.
Provider's Profile
| Full Name | Mr Bradley Wayne Fraley |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 17 Years |
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| Location | 400 Fairview Heights Rd, Summersville, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Bradley Wayne Fraley graduated from nursing school in 2007
NPI Data:
- NPI Number: 1619163839
- Provider Enumeration Date: 09/20/2007
- Last Update Date: 03/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 7214010115
- Enrollment ID: I20080215000381
Medical Identifiers
Medical identifiers for Mr Bradley Wayne Fraley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619163839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 60153 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Triangle Anesthesia Group, Psc | 9436161585 | 68 |
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. Mr Bradley Wayne Fraley allows following entities to bill medicare on his behalf.
| Entity Name | Appalachian Regional Healthcare Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477510162
PECOS PAC ID: 0840107835
Enrollment ID: O20031210000688 |
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| Entity Name | Triangle Anesthesia Group, Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124079314
PECOS PAC ID: 9436161585
Enrollment ID: O20220902001713 |
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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. Mr Bradley Wayne Fraley 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 |
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Mr Bradley Wayne Fraley,
1402 Runa Rd,
Mount Nebo, WV 26679-9350
Ph: (304) 872-5595 | Mr Bradley Wayne Fraley,
400 Fairview Heights Rd,
Summersville, WV 26651-9308
Ph: (304) 872-8617 |
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