Bridging Community With Healthcare, Llc - Medicare in Brookhaven, MS

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Bridging Community With Healthcare, Llc is a medicare enrolled "Clinic/center - Primary Care" provider in Brookhaven, Mississippi. Their current practice location is 1005 W Congress St, Brookhaven, Mississippi. You can reach out to their office (for appointments etc.) via phone at (601) 833-9388.

Bridging Community With Healthcare, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bridging Community With Healthcare, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1043627987.

Contact Information

Bridging Community With Healthcare, Llc
1005 W Congress St,
Brookhaven, MS 39601-2603
(601) 833-9388
(601) 833-9495

Map and Direction




Healthcare Provider's Profile

Full NameBridging Community With Healthcare, Llc
TypeFacility
SpecialityClinic/center - Primary Care
Location1005 W Congress St, Brookhaven, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043627987
  • Provider Enumeration Date: 07/11/2014
  • Last Update Date: 04/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9537380944
  • Enrollment ID: O20141029001047

Medical Identifiers

Medical identifiers for Bridging Community With Healthcare, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043627987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care R880146 (Mississippi)Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
314000000XSkilled Nursing Facility R880146 (Mississippi)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridging Community With Healthcare, Llc acts as a billing entity for following providers:
Provider NameJames Darnell Mcintyre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114009966
PECOS PAC ID: 3375543903
Enrollment ID: I20070105000137
Provider NameDeborah Zachary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932158482
PECOS PAC ID: 8820127004
Enrollment ID: I20100526000620
Provider NameTonya C. Hughey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013026947
PECOS PAC ID: 7719001593
Enrollment ID: I20100831000534
Provider NameVicky D Mclean
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528221009
PECOS PAC ID: 3274702311
Enrollment ID: I20110808000315
Provider NameElizabeth W Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336422021
PECOS PAC ID: 2466625397
Enrollment ID: I20111109000259
Provider NameLoren W Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649620485
PECOS PAC ID: 1153617501
Enrollment ID: I20160910000111
Provider NameRobert Dean Chappell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104332808
PECOS PAC ID: 3274894589
Enrollment ID: I20180301001914
Provider NameJodie L Sartin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699339200
PECOS PAC ID: 2264769660
Enrollment ID: I20190807003802
Provider NameJennifer D Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063180420
PECOS PAC ID: 3173912300
Enrollment ID: I20211110000308
Provider NameJennifer Bass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962177519
PECOS PAC ID: 3779972914
Enrollment ID: I20211110000522
Provider NameCharlie Anne Beach
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184976284
PECOS PAC ID: 0345634978
Enrollment ID: I20220225000072
Provider NameKacy E Ard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851059950
PECOS PAC ID: 5395122030
Enrollment ID: I20220518000834
Provider NamePamela A Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962263764
PECOS PAC ID: 9032655816
Enrollment ID: I20240729003291

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. Bridging Community With Healthcare, Llc 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 AddressPractice Location Address
Bridging Community With Healthcare, Llc
1005 W Congress St, 1007 W. Congres Street - Mailing Address,
Brookhaven, MS 39601-2603

Ph: (601) 833-9388		Bridging Community With Healthcare, Llc
1005 W Congress St,
Brookhaven, MS 39601-2603

Ph: (601) 833-9388

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.