Dr Stacy Denise Bradley, PSYD in Charlotte, NC - Medicare Clinical Psychologist Provider

Dr Stacy Denise Bradley, PSYD is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lifesource Of North Carolina and her current practice location is 620 Tom Hunter Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (276) 601-6197.

Dr Stacy Denise Bradley is licensed to practice in North Carolina (license number 2845) 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 1437274776.

Contact Information

	Dr Stacy Denise Bradley, PSYD
	620 Tom Hunter Rd, Charlotte, NC 28213-5511
	(276) 601-6197
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stacy Denise Bradley
Gender	Female
Speciality	Clinical Psychologist
Experience	22 Years
Location	620 Tom Hunter Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Stacy Denise Bradley graduated from medical school in 2002

NPI Data:

NPI Number: 1437274776
Provider Enumeration Date: 03/19/2007
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7416378369
Enrollment ID: I20200601000899

Medical Identifiers

Medical identifiers for Dr Stacy Denise Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437274776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2845 (North Carolina)	Secondary
103T00000X	Psychologist	2845 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifesource Of North Carolina	7416132428	153

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. Dr Stacy Denise Bradley allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Consultants Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422846 PECOS PAC ID: 5991720591 Enrollment ID: O20051012001172

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

Entity Name	Nm Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200109003016

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 Stacy Denise 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
Dr Stacy Denise Bradley, PSYD 5261 Carrollton Pike, Suite E, Woodlawn, VA 24381 Ph: (276) 601-6197	Dr Stacy Denise Bradley, PSYD 620 Tom Hunter Rd, Charlotte, NC 28213-5511 Ph: (276) 601-6197

Reviews and Comments

Psychologist in Charlotte, NC

Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336
Raquan Moser, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5108 Reagan Dr Ste 14, Charlotte, NC 28206 Phone: 704-332-8387
Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052

Dr Stacy Denise Bradley, PSYD - Medicare Psychologist in Charlotte, NC