Dr Jillian Bradley Llc is a medicare enrolled "Optometrist" provider in Niantic, Connecticut. Their current practice location is
18 Pennsylvania Ave, Niantic, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 391-1542.
Dr Jillian Bradley Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dr Jillian Bradley Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174224638.
Healthcare Provider's Profile
| Full Name | Dr Jillian Bradley Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 18 Pennsylvania Ave, Niantic, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174224638
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 04/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608232921
- Enrollment ID: O20230511002067
Medical Identifiers
Medical identifiers for Dr Jillian Bradley Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174224638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dr Jillian Bradley Llc acts as a billing entity for following providers:
| Provider Name | Jillian Ann Lombardi |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1730230657
PECOS PAC ID: 7416313739
Enrollment ID: I20230511002167 |
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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. Dr Jillian Bradley Llc 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 |
|---|
Dr Jillian Bradley Llc
18 Pennsylvania Ave,
Niantic, CT 06357-3231
Ph: (860) 391-1542 | Dr Jillian Bradley Llc
18 Pennsylvania Ave,
Niantic, CT 06357-3231
Ph: (860) 391-1542 |
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