Dr Bradley Lloyd Fricke, MD - Medicare Diagnostic Radiology in Conyers, GA

Dr Bradley Lloyd Fricke, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Conyers, Georgia. He went to University Of Cincinnati College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Summit Radiology Services Pc and his current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 607-7339.

Dr Bradley Lloyd Fricke is licensed to practice in Georgia (license number 067879) 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 1174701262.

Contact Information

Dr Bradley Lloyd Fricke, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877
(770) 607-7339
(770) 607-0789



Physician's Profile

Full NameDr Bradley Lloyd Fricke
GenderMale
SpecialityDiagnostic Radiology
Experience22 Years
Location1412 Milstead Ave Ne, Conyers, Georgia
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:
  • Dr Bradley Lloyd Fricke attended and graduated from University Of Cincinnati College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1174701262
  • Provider Enumeration Date: 01/31/2008
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789730482
  • Enrollment ID: I20120605000139

Medical Identifiers

Medical identifiers for Dr Bradley Lloyd Fricke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174701262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 067879 (Georgia)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 067879 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Rockdale HospitalConyers, GAHospital
Piedmont Henry HospitalStockbridge, GAHospital
Tanner Medical Center - CarrolltonCarrollton, GAHospital
Cartersville Medical CenterCartersville, GAHospital
Piedmont Mountainside Hospital IncJasper, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Radiology Services Pc357745402447

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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. Dr Bradley Lloyd Fricke allows following entities to bill medicare on his behalf.
Entity NameSummit Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174572374
PECOS PAC ID: 3577454024
Enrollment ID: O20040323001388

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Entity NameDiagnostic Imaging Specialists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366424947
PECOS PAC ID: 8123012366
Enrollment ID: O20040412000946

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Entity NameMarietta Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598152902
PECOS PAC ID: 8729398623
Enrollment ID: O20151105000083

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Entity NameTanner Imaging Center
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1154820876
PECOS PAC ID: 8325475056
Enrollment ID: O20200219000803

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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. Dr Bradley Lloyd Fricke 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
Dr Bradley Lloyd Fricke, MD
Po Box 200096,
Cartersville, GA 30120-9002

Ph: (707) 607-7339
Dr Bradley Lloyd Fricke, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877

Ph: (770) 607-7339

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Radiology Doctors in Conyers, GA

Dr. Clifford N Grossman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    
Michelle A Ross, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    
Dr. Ratna Sajja, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 1293 Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-922-2012    Fax: 770-922-8370
Richard Glen Stiles, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    Fax: 678-905-7053
Mark Otto Bernardy, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1031 Jimson Dr Se, Conyers, GA 30013
Phone: 800-879-6274    Fax: 678-342-2547
Dr. Kristin H Lewis, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-607-7339    

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