Dr Jeffrey Keith Bridges, PHD - Medicare Psychologist in Santa Rosa, CA

Dr Jeffrey Keith Bridges, PHD is a medicare enrolled "Psychologist - Clinical" provider in Santa Rosa, California. His current practice location is 576 B St, Suite 1-a, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 546-5327.

Dr Jeffrey Keith Bridges is licensed to practice in California (license number PSY11129) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750431490.

Contact Information

Dr Jeffrey Keith Bridges, PHD
576 B St, Suite 1-a,
Santa Rosa, CA 95401-5269
(707) 546-5327
(707) 579-7960

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeffrey Keith Bridges
GenderMale
SpecialityPsychologist - Clinical
Location576 B St, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750431490
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 07/27/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1557327574
  • Enrollment ID: I20041201001031

Medical Identifiers

Medical identifiers for Dr Jeffrey Keith Bridges such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750431490NPI-NPPES
074148OtherCAMHN PROVIDER #
156248OtherCAVALUEOPTIONS PROV NUM
OPL111290OtherCABLUE SHIELD PROV #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY11129 (California)Primary

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. Dr Jeffrey Keith Bridges 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
Dr Jeffrey Keith Bridges, PHD
576 B St, Suite 1-a,
Santa Rosa, CA 95401-5269

Ph: (707) 546-5327
Dr Jeffrey Keith Bridges, PHD
576 B St, Suite 1-a,
Santa Rosa, CA 95401-5269

Ph: (707) 546-5327

Reviews and Comments


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