| Dr Jack Bridges, MD | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6575 | |
| (816) 271-6139 |
| Full Name | Dr Jack Bridges |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 5325 Faraon St, Saint Joseph, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588639025 | NPI | - | NPPES |
| 300138251 | Other | MO | RR MEDICARE GROUP CK7871 |
| 24064048 | Other | MO | BCBS OF KC MO |
| 106183 | Other | KS | BCBS KS FOR KS LOCATION |
| 203612924 | Medicaid | MO | |
| 100287240B | Medicaid | KS | |
| 470767 | Other | BCBS KS FOR MO LOCATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 102182 (Missouri) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0427939 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Atchison Hospital | Atchison, KS | Hospital |
| Mosaic Medical Center Albany | Albany, MO | Hospital |
| Hiawatha Community Hospital | Hiawatha, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Specialists Of St Joseph Pc | 3173508512 | 16 |
| Hiawatha Hospital Association Inc | 9032007364 | 40 |
| Radiology Specialists Of St Joseph Pc | 3173508512 | 16 |
| Entity Name | Hiawatha Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952485161 PECOS PAC ID: 9032007364 Enrollment ID: O20040309000220 |
| Entity Name | Radiology Specialists Of St Joseph Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679512701 PECOS PAC ID: 3173508512 Enrollment ID: O20070115000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Bridges, MD 3906 Oakland Ave, Box 8252, St Joseph, MO 64508-7515 Ph: (816) 271-7648 | Dr Jack Bridges, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6575 |
Dr. Douglas E Goodman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-6139 | |
Daniel C Renfro, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Dr. Edward M Stevens, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-6139 | |
Dr. David C Mena, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-7644 | |
Dr. Jose Francisco Alvarez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Dr. Bonnie K Goins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 902 N Riverside Rd, #201, Saint Joseph, MO 64507 Phone: 816-271-7280 Fax: 816-271-1047 | |
Dr. Steven C Looney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-6139 |