Bridges Clinic Llc - Medicare Primary Care in Madison, MS

Bridges Clinic Llc is a medicare enrolled primary clinic (Internal Medicine) in Madison, Mississippi. The current practice location for Bridges Clinic Llc is 920 Ebenezer Blvd Ste A, Madison, Mississippi. For appointments, you can reach them via phone at (769) 200-1600. The mailing address for Bridges Clinic Llc is 920 Ebenezer Blvd Ste A, Madison, Mississippi and phone number is (769) 200-1600.

Bridges Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457998486. 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 (769) 200-1600.

Contact Information

Bridges Clinic Llc
920 Ebenezer Blvd Ste A
Madison
MS 39110-6005
(769) 200-1600
(769) 200-1571

Primary Care Clinic Profile

Full NameBridges Clinic Llc
SpecialityInternal Medicine
Location920 Ebenezer Blvd Ste A, Madison, Mississippi
Authorized Official Name and PositionJames Kevin Bridges (SOLE MEMBER)
Authorized Official Contact7692001600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bridges Clinic Llc
920 Ebenezer Blvd Ste A
Madison
MS 39110-6005

Ph: (769) 200-1600
Bridges Clinic Llc
920 Ebenezer Blvd Ste A
Madison
MS 39110-6005

Ph: (769) 200-1600

NPI Details:

NPI Number1457998486
Provider Enumeration Date12/10/2019
Last Update Date05/26/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0345674032
Medicare Enrollment IDO20200106002686

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Medical Identifiers

Medical identifiers for Bridges Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457998486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridges Clinic Llc acts as a billing entity for following providers:
Provider NameJames Kevin Bridges
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205065554
PECOS PAC ID: 4183870173
Enrollment ID: I20120807000491

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