Mr Spencer A Bradford, PA-S2 in Baltimore, MD - Medicare Physician Assistant

Mr Spencer A Bradford, PA-S2 is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is 620 W Lexington St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (970) 978-7005.

Mr Spencer A Bradford is licensed to practice in * (Not Available) (license number ) 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 1205478914.

Contact Information

	Mr Spencer A Bradford, PA-S2
	620 W Lexington St, Baltimore, MD 21201-1508
	(970) 978-7005
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Spencer A Bradford
Gender	Male
Speciality	Physician Assistant
Experience	4 Years
Location	620 W Lexington St, Baltimore, Maryland
Accepts Medicare Assignments	Yes. 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 Spencer A Bradford graduated from nursing school in 2020

NPI Data:

NPI Number: 1205478914
Provider Enumeration Date: 10/14/2019
Last Update Date: 01/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2567877509
Enrollment ID: I20210224001984

Medical Identifiers

Medical identifiers for Mr Spencer A Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205478914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Corwin Med Ctr, Centura Health	Pueblo, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catholic Health Initiatives Colorado	8022927342	998

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 Spencer A Bradford 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
Mr Spencer A Bradford, PA-S2 201 Lamkin St, Apt 101, Pueblo, CO 81003-3558 Ph: (719) 543-6633	Mr Spencer A Bradford, PA-S2 620 W Lexington St, Baltimore, MD 21201-1508 Ph: (970) 978-7005

Reviews and Comments

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Mr Spencer A Bradford, PA-S2 - Medicare Physician Assistant in Baltimore, MD