Bradley W Wine, MD - Medicare Family Practice in Anchorage, AK

Bradley W Wine, MD is a medicare enrolled "Family Medicine" physician in Anchorage, Alaska. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeast Alaska Regional Health Consortium, City Of Valdez and his current practice location is 1201 E 36th Ave, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 562-9229.

Bradley W Wine is licensed to practice in Alaska (license number 146256) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578126561.

Contact Information

Bradley W Wine, MD
1201 E 36th Ave,
Anchorage, AK 99508-4372
(907) 562-9229
(907) 562-1603



Physician's Profile

Full NameBradley W Wine
GenderMale
SpecialityFamily Practice
Experience5 Years
Location1201 E 36th Ave, Anchorage, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley W Wine attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2019
  NPI Data:
  • NPI Number: 1578126561
  • Provider Enumeration Date: 04/16/2019
  • Last Update Date: 06/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648505537
  • Enrollment ID: I20220726000380

Medical Identifiers

Medical identifiers for Bradley W Wine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578126561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 146256 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bristol Bay Area Health CorporationDillingham, AKHospital
Providence Valdez Medical CenterValdez, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Alaska Regional Health Consortium1456265362226
City Of Valdez357751469413

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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. Bradley W Wine allows following entities to bill medicare on his behalf.
Entity NameSoutheast Alaska Regional Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631

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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. Bradley W Wine 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
Bradley W Wine, MD
Po Box 4105,
Portland, OR 97208-4105

Ph: (866) 907-1068
Bradley W Wine, MD
1201 E 36th Ave,
Anchorage, AK 99508-4372

Ph: (907) 562-9229

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Family Medicine Doctors in Anchorage, AK

Candace L Clawson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508
Phone: 907-729-1624    Fax: 907-729-1634
Dr. William Murray Buttner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1201 E 36th Ave, Anchorage, AK 99508
Phone: 907-562-9229    Fax: 907-561-4806
Robert L Mcalister, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1201 E 36th Ave, Anchorage, AK 99508
Phone: 907-562-2992    
Shane W Cummings, M D
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1310 E Dimond Blvd, Suite 1, Anchorage, AK 99515
Phone: 907-344-2400    Fax: 907-344-2404
Jeremy D Wood, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 910 Compassion Cir, Anchorage, AK 99504
Phone: 907-212-9200    Fax: 907-212-9283
Kelton Hillard Oliver, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12302 Woodward Dr, Anchorage, AK 99516
Phone: 907-580-0002    
Ryan T. Mcwilliams, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4320 Diplomacy Dr, Suite 1191, Anchorage, AK 99508
Phone: 907-729-6321    

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