| Janiece Rachelle Bridges, MD | |
|
256 State Highway Y, Forsyth, MO 65653-5618 | |
| (417) 546-4200 | |
| (417) 546-4505 |
| Full Name | Janiece Rachelle Bridges |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 31 Years |
| Location | 256 State Highway Y, Forsyth, Missouri |
| 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 |
|---|---|---|---|
| 1184758617 | NPI | - | NPPES |
| 117248 | Other | MO | BLUE CROSS BLUE SHIELD |
| 205721103 | Medicaid | MO | |
| 010060982 | Other | MO | TRICARE TRIWEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 114296 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Center Branson | Branson, MO | Hospital |
| Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
| Cox Medical Centers | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healing Arts Center L.l.c. | 4789620261 | 50 |
| Sgoh Acquisition Inc | 5092616276 | 74 |
| Bridges Medical Services Pc | 9638088172 | 6 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
| Entity Name | Bridges Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700902244 PECOS PAC ID: 9638088172 Enrollment ID: O20110628000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Janiece Rachelle Bridges, MD Po Box 1240, Forsyth, MO 65653-1240 Ph: (417) 546-4200 | Janiece Rachelle Bridges, MD 256 State Highway Y, Forsyth, MO 65653-5618 Ph: (417) 546-4200 |
Leonard Wayne Bridges, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 256 State Highway Y, Forsyth, MO 65653 Phone: 417-546-4200 Fax: 417-546-4505 |