Bradley J. Beattie III, PA-C
Individual provider Active NPI Physician Assistant · Knoxville, IA
NPI 1841286622 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1841286622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001135 (IA)
- Practice address
- 1208 N Lincoln St
Knoxville, IA 50138-3421 - Phone
- (641) 828-3832
- Fax
- (641) 828-3820
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pella Regional Health Center
Practice addresses (Care Compare)
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
411 Merrill St
Bussey, IA 50044-7711
Phone (641) 944-5813
920 N Quincy Ave
Ottumwa Medical Clinic
Ottumwa, IA 52501-3866
Phone (641) 455-5200
Hospital & facility affiliations
- Pella Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20040525001707 | IA | Practitioner - Physician Assistant | 2264413384 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001135 | IA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients |
Locations
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
1208 N Lincoln St
Knoxville, IA 50138
Phone (641) 828-3832
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001135 | IA | Yes |
Addresses
Primary practice location
1208 N Lincoln St
Knoxville, IA 50138-3421
Mailing address
1208 N Lincoln St
Knoxville, IA 50138-3421
Phone (641) 828-3832
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001135 | Other | ID | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prhc@direct.pellahealthkobledirect.com | Direct |
Other providers in Knoxville, IA
- Stephanie Albers
- All in Transportation LLC
- Patricia A Ancell
- Vickie Lynn Arkema
- Jacqueline Ballou
- Andre Bell
- Bruce William Boehm Jr.
- Madison Susanne Boender
- Natalie Brady
- Brian James Braley
All providers in Knoxville, IA · Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 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.