Tannon Bradley, OD in Provo, UT - Medicare Optometrist Provider

Tannon Bradley, OD is a medicare enrolled "Optometrist" provider in Provo, Utah. His current practice location is 1355 N University Ave Ste 100, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 377-4333.

Tannon Bradley is licensed to practice in Utah (license number 13442708-9934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972297109.

Contact Information

	Tannon Bradley, OD
	1355 N University Ave Ste 100, Provo, UT 84604-2721
	(801) 377-4333
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tannon Bradley
Gender	Male
Speciality	Optometrist
Location	1355 N University Ave Ste 100, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972297109
Provider Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4688035868
Enrollment ID: I20230803003579

Medical Identifiers

Medical identifiers for Tannon Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972297109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	13442708-9934 (Utah)	Primary

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. Tannon Bradley allows following entities to bill medicare on his behalf.

Provider Name	Utah Valley Optometric Physicians
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760545735 PECOS PAC ID: 1658274899 Enrollment ID: O20040127000914

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. Tannon Bradley 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
Tannon Bradley, OD 1355 N University Ave Ste 100, Provo, UT 84604-2721 Ph: (801) 377-4333	Tannon Bradley, OD 1355 N University Ave Ste 100, Provo, UT 84604-2721 Ph: (801) 377-4333

Reviews and Comments

Optometrist in Provo, UT

Trevor Todd Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 River Park Dr Ste 245, Provo, UT 84604 Phone: 801-800-8508
Dr. Andrew Timothy Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2230 N University Pkwy Ste 10a, Provo, UT 84604 Phone: 801-373-4550
Mr. Adam L Hickenbotham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 122 E 1700 S Bldg 3, Provo, UT 84606 Phone: 385-248-5550
Dr. Matthew Orgill, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1800 Novell Pl, Provo, UT 84606 Phone: 801-375-5125
Frank A Siddoway Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1675 N 200 W, #11-a, Provo, UT 84604 Phone: 801-374-2227 Fax: 801-374-5197
Mr. David O. Edmunds, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 204, Provo, UT 84604 Phone: 801-357-7373 Fax: 801-357-7217
Adrienne Pyne O.d. Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1313 S University Ave, Provo, UT 84601 Phone: 801-377-9891 Fax: 801-356-6899

Tannon Bradley, OD - Medicare Optometrist in Provo, UT