| Susan Diane Bridge, LCSW | |
|
240 W Mahoning St, Punxsutawney, PA 15767-1919 | |
| (814) 938-1830 | |
| (814) 939-1982 |
| Full Name | Susan Diane Bridge |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 240 W Mahoning St, Punxsutawney, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316051428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW015402 (Pennsylvania) | Primary |
| 104100000X | Social Worker | CW015402 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana Healthcare Physician Services Inc | 5294723359 | 146 |
| Entity Name | Punxsutawney Area Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669558391 PECOS PAC ID: 3375517147 Enrollment ID: O20040826000050 |
| Entity Name | Indiana Healthcare Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578523429 PECOS PAC ID: 5294723359 Enrollment ID: O20040927000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Diane Bridge, LCSW 240 W Mahoning St, Punxsutawney, PA 15767-1919 Ph: (814) 938-1830 | Susan Diane Bridge, LCSW 240 W Mahoning St, Punxsutawney, PA 15767-1919 Ph: (814) 938-1830 |
Mark Russell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 Sykesville Troutville Rd, Punxsutawney, PA 15767 Phone: 814-591-1997 | |
Amanda Ziad Amundson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Scotland Ave, Punxsutawney, PA 15767 Phone: 205-657-7004 | |
Alena K Gourley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1464 N Main St Ste 7, Punxsutawney, PA 15767 Phone: 814-938-4444 Fax: 814-938-3313 |