| Bridgette Jean Fielder, LPC | |
|
3201 W. Keiser, Osceola, AR 72370-3467 | |
| (870) 622-0592 | |
| (870) 622-0782 |
| Full Name | Bridgette Jean Fielder |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 3201 W. Keiser, Osceola, Arkansas |
| 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 |
|---|---|---|---|
| 1083873012 | NPI | - | NPPES |
| 171783795 | Medicaid | AR | |
| 238385719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1904048 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Community Clinic Llc | 0648608117 | 3 |
| Entity Name | Tri-county Community Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811527138 PECOS PAC ID: 0648608117 Enrollment ID: O20200316001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgette Jean Fielder, LPC 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 Ph: (870) 933-6886 | Bridgette Jean Fielder, LPC 3201 W. Keiser, Osceola, AR 72370-3467 Ph: (870) 622-0592 |
Audrey Denean Parker, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 | |
April L Scrape, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 | |
Mrs. Latasha Lee Dawson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 | |
Christie Lynn Brister, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Avenue, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 | |
Gail Renee Barger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 West Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 | |
Mrs. Kimberly Dawn Tomblin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 |