Mr Lee W Bradshaw, APRN - Medicare Nurse Practitioner in Ogden, UT

Mr Lee W Bradshaw, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Ogden, Utah. He graduated from nursing school in 1981 and has 43 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 3903 Harrison Blvd, #300, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-4930.

Mr Lee W Bradshaw is licensed to practice in Utah (license number 6242996-4405) 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 1588660773.

Contact Information

Mr Lee W Bradshaw, APRN
3903 Harrison Blvd, #300,
Ogden, UT 84403-8440
(801) 387-4930
(801) 387-9470



Provider's Profile

Full NameMr Lee W Bradshaw
GenderMale
SpecialityNurse Practitioner
Experience43 Years
Location3903 Harrison Blvd, Ogden, Utah
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:
  • Mr Lee W Bradshaw graduated from nursing school in 1981
  NPI Data:
  • NPI Number: 1588660773
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 07/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305942368
  • Enrollment ID: I20070508000394

Medical Identifiers

Medical identifiers for Mr Lee W Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588660773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 6242996-4405 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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. Mr Lee W Bradshaw allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Mr Lee W Bradshaw 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
Mr Lee W Bradshaw, APRN
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 387-5600
Mr Lee W Bradshaw, APRN
3903 Harrison Blvd, #300,
Ogden, UT 84403-8440

Ph: (801) 387-4930

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Clinical Nurse Specialist Nurses in Ogden, UT

Mary Morgal, APRN, CCNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 4401 Harrison Blvd, Ogden, UT 84403
Phone: 801-387-2254    Fax: 801-387-2243
Mrs. Grace Belliston, APRN
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 982 Chambers St, Ogden, UT 84403
Phone: 801-479-4105    
Jacy Winner, RN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 477 23rd St, Ogden, UT 84401
Phone: 801-399-7240    
Paula Jean Cooper, APRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 4401 Harrison Blvd, Ste 1885, Ogden, UT 84403
Phone: 801-387-4870    Fax: 801-475-1621

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