Bridgette Mary-Catherine Radak, MSN, RN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · MC Bain, MI
NPI 1013552785 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1013552785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704306800 (MI)
- Practice address
- 100 N Roland St
MC Bain, MI 49657-9683 - Phone
- (231) 825-8101
- NPI assigned
- Nov 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munson Healthcare Cadillac
Practice addresses (Care Compare)
100 N Roland St
McBain Primary Care
MC Bain, MI 49657-9683
Phone (231) 825-8101
Hospital & facility affiliations
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Otsego Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200203000887 | MI | Practitioner - Nurse Practitioner | 5193151553 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704306800 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Current |
Accepting new patients |
Locations
3782 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704306800 | MI | Yes |
Addresses
Primary practice location
100 N Roland St
MC Bain, MI 49657-9683
Mailing address
100 N Roland St
MC Bain, MI 49657-9683
Phone (231) 825-8101
Other practice location 1
7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 866-6200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bradak@direct.mhc.net |
Other providers in MC Bain, MI
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Dawn Lynnette Paris
- Kayla M Roby
- Connie Schepers
- Katelyn Leeanne Sluiter
- Kara Smith
- Tammy Stroud
All providers in MC Bain, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.