| Latrisha Bridges, | |
|
120 N Walnut St, Jefferson, TX 75657-1934 | |
| (903) 665-6131 | |
| Not Available |
| Full Name | Latrisha Bridges |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 120 N Walnut St, Jefferson, Texas |
| 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 |
|---|---|---|---|
| 1477032860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 787244 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1022088 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paris Regional Medical Center | Paris, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prmc Healthcare Group, Inc. | 6406919901 | 34 |
| Entity Name | Prmc Healthcare Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457514648 PECOS PAC ID: 6406919901 Enrollment ID: O20090109000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Latrisha Bridges, 6011 County Road 22900, Paris, TX 75460-1934 Ph: (903) 272-6972 | Latrisha Bridges, 120 N Walnut St, Jefferson, TX 75657-1934 Ph: (903) 665-6131 |
Cheryl Elaine Gale, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2826 Fm 2683 E, Jefferson, TX 75657 Phone: 903-503-0583 | |
Robin Lynne Gale, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 219 N Polk St, Jefferson, TX 75657 Phone: 903-665-2600 Fax: 903-665-2608 | |
Tammy K Dupree, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321 Brooks # 321, Jefferson, TX 75657 Phone: 903-930-5707 | |
Mr. Thomas R. Dupree Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321 Brooks, Jefferson, TX 75657 Phone: 903-930-3934 |