Kelly Bradford, - Medicare Counselor in Independence, KS

Kelly Bradford, is a medicare enrolled "Social Worker - Clinical" provider in Independence, Kansas. She graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Four County Mental Health Center, Inc. and her current practice location is 1101 Donald Ave, Independence, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 331-1748.

Kelly Bradford is licensed to practice in Kansas (license number 4705) 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 1386906394.

Contact Information

Kelly Bradford,
1101 Donald Ave,
Independence, KS 67301-2001
(620) 331-1748
Not Available

Healthcare Provider's Profile

Full NameKelly Bradford
GenderFemale
SpecialityClinical Social Worker
Experience12 Years
Location1101 Donald Ave, Independence, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Bradford graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1386906394
  • Provider Enumeration Date: 06/14/2012
  • Last Update Date: 08/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769755057
  • Enrollment ID: I20170908000209

Medical Identifiers

Medical identifiers for Kelly Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386906394NPI-NPPES
200875750AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 995 (Kansas)Secondary
1041C0700XSocial Worker - Clinical 4705 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Four County Mental Health Center, Inc.701290407115

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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. Kelly Bradford allows following entities to bill medicare on her behalf.
Entity NameFour County Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841290251
PECOS PAC ID: 7012904071
Enrollment ID: O20040430000887

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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. Kelly Bradford 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 AddressPractice Location Address
Kelly Bradford,
Po Box 688,
Independence, KS 67301-0688

Ph: () -
Kelly Bradford,
1101 Donald Ave,
Independence, KS 67301-2001

Ph: (620) 331-1748

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Social Worker in Independence, KS


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