Robert Bridge, MD is a medicare enrolled "Emergency Medicine" physician in Glencoe, Missouri. His current practice location is
1524 Garden Valley Dr, Glencoe, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 273-4418.
Robert Bridge is licensed to practice in Missouri (license number MD101261) 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 1073621132.
Physician's Profile
| Full Name | Robert Bridge |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1524 Garden Valley Dr, Glencoe, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073621132
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597899039
- Enrollment ID: I20100818001364
Medical Identifiers
Medical identifiers for Robert Bridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073621132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | MD101261 (Missouri) | 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. Robert Bridge allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
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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. Robert 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 |
Robert Bridge, MD 1524 Garden Valley Dr, Glencoe, MO 63038-1489 Ph: (636) 273-4418 | Robert Bridge, MD 1524 Garden Valley Dr, Glencoe, MO 63038-1489 Ph: (636) 273-4418 |
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