Mr Lee W Bradshaw, APRN - Medicare Nurse Practitioner in Ogden, UT

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Mr Lee W Bradshaw, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Ogden, Utah. He graduated from nursing school in 1981 and has 43 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 3903 Harrison Blvd, #300, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-4930.

Mr Lee W Bradshaw is licensed to practice in Utah (license number 6242996-4405) 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 1588660773.

Contact Information

Mr Lee W Bradshaw, APRN
3903 Harrison Blvd, #300,
Ogden, UT 84403-8440
(801) 387-4930
(801) 387-9470

Map and Direction




Provider's Profile

Full NameMr Lee W Bradshaw
GenderMale
SpecialityNurse Practitioner
Experience43 Years
Location3903 Harrison Blvd, Ogden, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Lee W Bradshaw graduated from nursing school in 1981
  NPI Data:
  • NPI Number: 1588660773
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 07/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305942368
  • Enrollment ID: I20070508000394

Medical Identifiers

Medical identifiers for Mr Lee W Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588660773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 6242996-4405 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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 Lee W Bradshaw allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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 Lee W Bradshaw 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
Mr Lee W Bradshaw, APRN
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 387-5600		Mr Lee W Bradshaw, APRN
3903 Harrison Blvd, #300,
Ogden, UT 84403-8440

Ph: (801) 387-4930

Reviews and Comments


Clinical Nurse Specialist Nurses in Ogden, UT

Mary Morgal, APRN, CCNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 4401 Harrison Blvd, Ogden, UT 84403
Phone: 801-387-2254    Fax: 801-387-2243
Mrs. Grace Belliston, APRN
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 982 Chambers St, Ogden, UT 84403
Phone: 801-479-4105    
Jacy Winner, RN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 477 23rd St, Ogden, UT 84401
Phone: 801-399-7240    
Paula Jean Cooper, APRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 4401 Harrison Blvd, Ste 1885, Ogden, UT 84403
Phone: 801-387-4870    Fax: 801-475-1621

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.