Jean Bridwell, is a medicare enrolled "Nurse Practitioner - Family" in Davis, West Virginia. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St George Medical Clinic Inc and her current practice location is
6368 Appalachian Highway, Davis, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 478-3339.
Jean Bridwell is licensed to practice in West Virginia (license number 67358) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104992965.
Provider's Profile
| Full Name | Jean Bridwell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 6368 Appalachian Highway, Davis, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jean Bridwell graduated from nursing school in 2018
NPI Data:
- NPI Number: 1104992965
- Provider Enumeration Date: 11/25/2006
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446591929
- Enrollment ID: I20190410001180
Medical Identifiers
Medical identifiers for Jean Bridwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104992965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 67358 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St George Medical Clinic Inc | 7911996244 | 15 |
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. Jean Bridwell allows following entities to bill medicare on her behalf.
| Entity Name | Jefferson Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992726236
PECOS PAC ID: 7315859535
Enrollment ID: O20031105000141 |
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| Entity Name | St George Medical Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497853600
PECOS PAC ID: 7911996244
Enrollment ID: O20040511000664 |
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| Entity Name | East Mountain Health Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114460797
PECOS PAC ID: 9133405327
Enrollment ID: O20170425001245 |
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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. Jean Bridwell 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 |
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Jean Bridwell,
8591 Holly Meadows Rd,
Parsons, WV 26287-8604
Ph: (304) 478-3339 | Jean Bridwell,
6368 Appalachian Highway,
Davis, WV 26260
Ph: (304) 478-3339 |
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