Lisa Bridwell, | |
6246 W Broadway Ste 200, Mccordsville, IN 46055-9572 | |
(317) 253-7387 | |
Not Available |
Full Name | Lisa Bridwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 6246 W Broadway Ste 200, Mccordsville, Indiana |
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 |
---|---|---|---|
1902427917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3014535 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
360care Services Of Kentucky Llc | 9931587888 | 12 |
Evansville Multi Specialty Clinic Pc | 3779597976 | 3 |
Onhealthcare Llc | 8527221480 | 49 |
Entity Name | Green House And Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558316463 PECOS PAC ID: 4688667488 Enrollment ID: O20171130000326 |
Entity Name | 360care Services Of Kentucky Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669113023 PECOS PAC ID: 9931587888 Enrollment ID: O20220604000305 |
Mailing Address | Practice Location Address |
---|---|
Lisa Bridwell, Po Box 361327, Indianapolis, IN 46236-1327 Ph: (317) 253-7387 | Lisa Bridwell, 6246 W Broadway Ste 200, Mccordsville, IN 46055-9572 Ph: (317) 253-7387 |
Kimberly A Kovacich, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5189 W 600 N, Mccordsville, IN 46055 Phone: 317-335-1588 Fax: 317-324-4073 | |
Allison K Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5189 W 600 N, Mccordsville, IN 46055 Phone: 317-335-5189 | |
Andrea Rowland, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6246 W Broadway Ste 200, Mccordsville, IN 46055 Phone: 317-253-7387 | |
Mrs. Joann Schafer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5189 West 600 N, Mccordsville, IN 46055 Phone: 317-355-5189 Fax: 317-324-4047 | |
Mrs. Kandace Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5189 W 600 N, Mccordsville, IN 46055 Phone: 317-329-7232 |