Bridgeport Health Department - Medicare Primary Care in Bridgeport, CT

Bridgeport Health Department is a medicare enrolled primary clinic (Clinic/center - Public Health, State Or Local) in Bridgeport, Connecticut. The current practice location for Bridgeport Health Department is 99 Middle St, Bridgeport, Connecticut. For appointments, you can reach them via phone at (203) 576-7448. The mailing address for Bridgeport Health Department is 99 Middle St, Bridgeport, Connecticut and phone number is (203) 576-7448.

Bridgeport Health Department is licensed to practice in Connecticut (license number 0033). The clinic also participates in the medicare program and its NPI number is 1730436783. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (203) 576-7448.

Contact Information

Bridgeport Health Department
99 Middle St
Bridgeport
CT 06604-4410
(203) 576-7448
Not Available

Primary Care Clinic Profile

Full NameBridgeport Health Department
SpecialityClinic/Center
Location99 Middle St, Bridgeport, Connecticut
Authorized Official Name and PositionManisha Gupta (INTERNAL MEDICINE)
Authorized Official Contact2035767448
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bridgeport Health Department
99 Middle St
Bridgeport
CT 06604-4410

Ph: (203) 576-7448
Bridgeport Health Department
99 Middle St
Bridgeport
CT 06604-4410

Ph: (203) 576-7448

NPI Details:

NPI Number1730436783
Provider Enumeration Date08/09/2012
Last Update Date09/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2365842309
Medicare Enrollment IDO20210614002428

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Medical Identifiers

Medical identifiers for Bridgeport Health Department such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730436783NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP0905XClinic/center - Public Health, State Or Local 0033 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridgeport Health Department acts as a billing entity for following providers:
Provider NameHadrian Marlowe Holder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083093181
PECOS PAC ID: 0042597239
Enrollment ID: I20191202001557

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Provider NameDeirdre Gruber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609317080
PECOS PAC ID: 8628478666
Enrollment ID: I20210614002633

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