| Jovie N Bridgewater, MD | |
|
7601 Southcrest Pkwy, Southaven, MS 38671-4739 | |
| (662) 349-4000 | |
| (334) 244-1830 |
| Full Name | Jovie N Bridgewater |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 44 Years |
| Location | 7601 Southcrest Pkwy, Southaven, Mississippi |
| 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 |
|---|---|---|---|
| 1831176973 | NPI | - | NPPES |
| 00116459 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 16307 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Mississippi Llc | 4789057878 | 25 |
| American Anesthesiology Of Tennessee Pc | 9931001922 | 282 |
| Entity Name | American Anesthesiology Of Mississippi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023723558 PECOS PAC ID: 4789057878 Enrollment ID: O20230311000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Jovie N Bridgewater, MD Po Box 235022, Montgomery, AL 36123-5022 Ph: (334) 386-2053 | Jovie N Bridgewater, MD 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 349-4000 |
Dr. Jay Paul Mcdonald Ii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 2, Southaven, MS 38671 Phone: 662-404-8630 | |
Keith Porter, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 662-349-2659 | |
Sandra Joann Reed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 334-386-2053 Fax: 334-244-1830 | |
Rodney D. Rothstein, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 334-386-2053 Fax: 334-244-1830 |