Jacklyn Bradley, PA-C in Cranston, RI - Medicare Physician Assistant

Jacklyn Bradley, PA-C is a medicare enrolled "Physician Assistant" in Cranston, Rhode Island. Her current practice location is 333 Budlong Rd, Cranston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 943-4530.

Jacklyn Bradley is licensed to practice in * (Not Available) (license number ) 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 1790141976.

Contact Information

	Jacklyn Bradley, PA-C
	333 Budlong Rd, Cranston, RI 02920-6337
	(401) 943-4530
	Not Available

Provider's Profile

Full Name	Jacklyn Bradley
Gender	Female
Speciality	Physician Assistant
Location	333 Budlong Rd, Cranston, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790141976
Provider Enumeration Date: 01/04/2016
Last Update Date: 01/04/2016

Medicare PECOS Information:

PECOS PAC ID: 7012213929
Enrollment ID: I20160302001779

Medical Identifiers

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

Identifier	Type	State	Issuer
1790141976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Jacklyn 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
Jacklyn Bradley, PA-C 333 Budlong Rd, Cranston, RI 02920-6337 Ph: (401) 943-4530	Jacklyn Bradley, PA-C 333 Budlong Rd, Cranston, RI 02920-6337 Ph: (401) 943-4530

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Physician Assistant Nurses in Cranston, RI

Brianna Southwick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 333 Budlong Rd, Cranston, RI 02920 Phone: 401-943-4530
Leanne M Nadeau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 333 Budlong Rd, Cranston, RI 02920 Phone: 401-943-4530 Fax: 401-943-5107
Kathleen Ricci, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 Phone: 401-946-6200 Fax: 401-275-1992
Grace Barber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2000 Chapel View Blvd, Suite 225, Cranston, RI 02920 Phone: 401-400-8414
Mrs. Jennifer Lynn Geremia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1150 Reservoir Avenue, Suite 201, Cranston, RI 02920 Phone: 401-943-1300 Fax: 401-946-8480
Sophia Grace Brownstein, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1150 Reservoir Ave Ste 300, Cranston, RI 02920 Phone: 401-223-2828
Susan Pitt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 Sockanosset Cross Rd, Cranston, RI 02920 Phone: 401-946-6200 Fax: 401-275-1992

Jacklyn Bradley, PA-C - Medicare Physician Assistant in Cranston, RI