Mrs Marisa Bradbury, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ruther Glen, Virginia. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grace Health Services Llc and her current practice location is
5322 Ladysmith Rd, Ruther Glen, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 547-4125.
Mrs Marisa Bradbury is licensed to practice in Virginia (license number 0024184442) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093444093.
Provider's Profile
| Full Name | Mrs Marisa Bradbury |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 5322 Ladysmith Rd, Ruther Glen, Virginia |
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| Accepts Medicare Assignments | Yes. She 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:
- Mrs Marisa Bradbury graduated from nursing school in 2022
NPI Data:
- NPI Number: 1093444093
- Provider Enumeration Date: 06/07/2022
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800279928
- Enrollment ID: I20220822002620
Medical Identifiers
Medical identifiers for Mrs Marisa Bradbury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093444093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024184442 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grace Health Services Llc | 6103157094 | 6 |
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. Mrs Marisa Bradbury allows following entities to bill medicare on her behalf.
| Entity Name | Grace Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528614674
PECOS PAC ID: 6103157094
Enrollment ID: O20191007003690 |
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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. Mrs Marisa Bradbury 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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Mrs Marisa Bradbury, PMHNP
Po Box 34527,
North Chesterfield, VA 23234-0527
Ph: () - | Mrs Marisa Bradbury, PMHNP
5322 Ladysmith Rd,
Ruther Glen, VA 22546-1325
Ph: (804) 547-4125 |
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