| Ms Bridgette Denise Agee, APRN | |
|
5112 Summer Brooke Ln, Lakeland, FL 33811-2679 | |
| (863) 712-2041 | |
| Not Available |
| Full Name | Ms Bridgette Denise Agee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 5112 Summer Brooke Ln, Lakeland, Florida |
| 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 |
|---|---|---|---|
| 1194494351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | APRN11015126 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11015126 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Manatee Memorial Hospital | Bradenton, FL | Hospital |
| Blake Medical Center | Bradenton, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychiatry Of Texas Pllc | 0345573598 | 203 |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Entity Name | Ashit K Vijapura Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154517068 PECOS PAC ID: 8527198555 Enrollment ID: O20100617000312 |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1730648288 PECOS PAC ID: 7416132428 Enrollment ID: O20190327002120 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Sgmp Southland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20231024001078 |
| Entity Name | Post Acute Specialists Of Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992571608 PECOS PAC ID: 7214389279 Enrollment ID: O20240116002141 |
| Entity Name | Psychiatry Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013476027 PECOS PAC ID: 0345573598 Enrollment ID: O20240612001755 |
| Entity Name | Psychplus Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558118026 PECOS PAC ID: 2668813460 Enrollment ID: O20240613000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bridgette Denise Agee, APRN 5112 Summer Brooke Ln, Lakeland, FL 33811-2679 Ph: (863) 712-2041 | Ms Bridgette Denise Agee, APRN 5112 Summer Brooke Ln, Lakeland, FL 33811-2679 Ph: (863) 712-2041 |