| Bridge Community Health Clinic | |
|
181 N 2nd Street Wausau WI 54403 | |
| (715) 848-4884 | |
| (715) 845-5385 |
| Full Name | Bridge Community Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 181 N 2nd Street, Wausau, Wisconsin |
| Authorized Official Name and Position | Jennifer Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7158484884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Community Health Clinic 1810 2nd St Wausau WI 54403-3492 Ph: (715) 848-4884 | Bridge Community Health Clinic 181 N 2nd Street Wausau WI 54403 Ph: (715) 848-4884 |
| NPI Number | 1457370744 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 06/30/2017 |
| Medicare PECOS PAC ID | 3870577935 |
|---|---|
| Medicare Enrollment ID | O20040616000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457370744 | NPI | - | NPPES |
| 39256400 | Medicaid | WI |
| Provider Name | Natalie G Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063563211 PECOS PAC ID: 1658267596 Enrollment ID: I20040408001366 |
| Provider Name | Barbara V Seiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609823509 PECOS PAC ID: 6002975042 Enrollment ID: I20081106000196 |
| Provider Name | Ryan A Gossett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710924329 PECOS PAC ID: 0042364879 Enrollment ID: I20090813000385 |
| Provider Name | Alicia Maria Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407043458 PECOS PAC ID: 2163518242 Enrollment ID: I20140909002560 |
| Provider Name | Tracie L Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306248158 PECOS PAC ID: 6608191655 Enrollment ID: I20150213001434 |
| Provider Name | Melissa J Linden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497108518 PECOS PAC ID: 2769778778 Enrollment ID: I20160830003229 |
| Provider Name | Tonia Y Backman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033468947 PECOS PAC ID: 4688935240 Enrollment ID: I20180223000839 |
| Provider Name | Shawn A Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316401706 PECOS PAC ID: 2062748130 Enrollment ID: I20190726001452 |
| Provider Name | Barbara Jo Bunnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093078784 PECOS PAC ID: 3870921869 Enrollment ID: I20200325003498 |
| Provider Name | Heather Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326528654 PECOS PAC ID: 0143629733 Enrollment ID: I20210602001279 |
| Provider Name | Dakota J Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033566088 PECOS PAC ID: 4587065222 Enrollment ID: I20210701001272 |
| Provider Name | Rachel F Voit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740955590 PECOS PAC ID: 6103214358 Enrollment ID: I20211021000666 |
| Provider Name | Claire Strosahl Udell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295360436 PECOS PAC ID: 0042605032 Enrollment ID: I20220309000995 |
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