Mackenzie Breanna Bradley, in Tyler, TX - Medicare Speech-Language Pathologist Provider

Mackenzie Breanna Bradley, is a medicare enrolled "Speech-language Pathologist" provider in Tyler, Texas. Her current practice location is 7282 Crosswater Ste 100, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 871-5712.

Mackenzie Breanna Bradley is licensed to practice in Texas (license number 121426) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972285351.

Contact Information

	Mackenzie Breanna Bradley,
	7282 Crosswater Ste 100, Tyler, TX 75703-0659
	(903) 871-5712
	(903) 309-1035

Map and Direction

Healthcare Provider's Profile

Full Name	Mackenzie Breanna Bradley
Gender	Female
Speciality	Speech-language Pathologist
Location	7282 Crosswater Ste 100, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972285351
Provider Enumeration Date: 08/03/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3476916818
Enrollment ID: I20230831003753

Medical Identifiers

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

Identifier	Type	State	Issuer
1972285351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	121426 (Texas)	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. Mackenzie Breanna Bradley allows following entities to bill medicare on her behalf.

Provider Name	Speech Swallowing And Neurological Rehabilitation Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1083261952 PECOS PAC ID: 1052743788 Enrollment ID: O20191118001310

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. Mackenzie Breanna 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
Mackenzie Breanna Bradley, 7282 Crosswater Ste 100, Tyler, TX 75703-0659 Ph: (903) 871-5712	Mackenzie Breanna Bradley, 7282 Crosswater Ste 100, Tyler, TX 75703-0659 Ph: (903) 871-5712

Reviews and Comments

Speech-Language Pathologist in Tyler, TX

Ashia Perez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858
Kalee Owens, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 921 Shiloh Rd Ste C120, Tyler, TX 75703 Phone: 903-939-2800 Fax: 866-386-4531
Dr. Tina Melamed Jaremko, PHD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3310 S Broadway Ave Ste 100, Tyler, TX 75701 Phone: 903-781-1832
Lauren Meeker, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3110 Park Center Dr, Tyler, TX 75701 Phone: 903-593-9999
Kelsey Leigh Dominy, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St Ste 123, Tyler, TX 75702 Phone: 903-531-2581
Kathryn Sue Campbell, M.S., CF/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Rice Rd Apt 1421, Tyler, TX 75703 Phone: 903-393-3472
Selma Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3714

Mackenzie Breanna Bradley, - Medicare Speech-Language Pathologist in Tyler, TX