| Ty David Bradford, PA-C | |
|
933 Red Apple Rd, Wenatchee, WA 98801-3370 | |
| (509) 662-1511 | |
| Not Available |
| Full Name | Ty David Bradford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 933 Red Apple Rd, Wenatchee, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053075077 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Option Pllc | 6709013105 | 90 |
| Ideal Option Pllc | 6709013105 | 90 |
| Ideal Telemedicine Services Llc | 2860726221 | 47 |
| Entity Name | Ideal Option PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20180104000573 |
| Entity Name | Ideal Telemedicine Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190715003330 |
| Mailing Address | Practice Location Address |
|---|---|
| Ty David Bradford, PA-C 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Ty David Bradford, PA-C 933 Red Apple Rd, Wenatchee, WA 98801-3370 Ph: (509) 662-1511 |
Steven Poupard, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 |
Gregory A Moser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 |
Amaya Rodriguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Orondo Ave, Wenatchee, WA 98801 Phone: 510-965-3358 |
Cameron L Collings, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-662-2211 Fax: 509-662-8756 |
Christopher Dunscomb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Orondo Ave Ste 1, Wenatchee, WA 98801 Phone: 509-662-6000 |
Joey Edith Victoria-lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 |
Charles Alexander Grayson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-662-1511 |