Mr Peter Mark Bridge, MD is a medicare enrolled "Plastic Surgery" physician in Brandon, Florida. His current practice location is
608 Medical Care Dr, Brandon, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 684-2506.
Mr Peter Mark Bridge is licensed to practice in Florida (license number ME79084) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245295609.
Physician's Profile
| Full Name | Mr Peter Mark Bridge |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 608 Medical Care Dr, Brandon, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245295609
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 06/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 7113091810
- Enrollment ID: I20111005000848
Medical Identifiers
Medical identifiers for Mr Peter Mark Bridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245295609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | ME79084 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Peter Mark Bridge allows following entities to bill medicare on his behalf.
| Entity Name | Sunshine Surgical And Wound Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952843716
PECOS PAC ID: 1658640487
Enrollment ID: O20170710002574 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Peter Mark Bridge is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Peter Mark Bridge, MD
608 Medical Care Dr, Bldg 7-601,
Brandon, FL 33511-5937
Ph: (404) 842-5400 | Mr Peter Mark Bridge, MD
608 Medical Care Dr,
Brandon, FL 33511
Ph: (813) 684-2506 |
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