| Bridget R Pettit, MS LMHP | |
|
110 N Bailey, North Platte, NE 69103 | |
| (308) 534-6029 | |
| (308) 534-6961 |
| Full Name | Bridget R Pettit |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 110 N Bailey, North Platte, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659394641 | NPI | - | NPPES |
| 248453 | Other | MIDLANDS CHOICE | |
| 84483 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2518 (Nebraska) | Primary |
| Entity Name | Region Ii Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558657155 PECOS PAC ID: 0143280651 Enrollment ID: O20041018001156 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget R Pettit, MS LMHP Po Box 1209, 110 N Bailey, North Platte, NE 69103 Ph: (308) 534-6029 | Bridget R Pettit, MS LMHP 110 N Bailey, North Platte, NE 69103 Ph: (308) 534-6029 |
Teresa M Ward, MA LMHP Couples Therapy Medicare: Medicare Enrolled Practice Location: 110 N Bailey Ave, North Platte, NE 69101 Phone: 308-534-6029 Fax: 308-534-6961 | |
Larry D Brown, EDD LMHP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 North Bailey, North Platte, NE 69103 Phone: 308-534-6029 Fax: 308-534-6961 | |
Angela D Lemmer, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 N Bailey, North Platte, NE 69103 Phone: 308-534-6029 Fax: 308-534-6961 |