Bridge Clinic, Pllc in St George, UT

Bridge Clinic, Pllc is a medicare enrolled primary clinic (Dermatology) in St George, Utah. The current practice location for Bridge Clinic, Pllc is 230 N 1680 E Ste N1, St George, Utah. For appointments, you can reach them via phone at (435) 313-7237. The mailing address for Bridge Clinic, Pllc is 230 N 1680 E Ste N1, St George, Utah and phone number is (435) 313-7237.

Bridge Clinic, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194561670. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (435) 313-7237.

Contact Information

	Bridge Clinic, Pllc
	230 N 1680 E Ste N1 St George UT 84790-2596
	(435) 313-7237
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Bridge Clinic, Pllc
Speciality	Dermatology
Location	230 N 1680 E Ste N1, St George, Utah
Authorized Official Name and Position	Trent Kenworthy (OWNER)
Authorized Official Contact	4353137237
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bridge Clinic, Pllc 230 N 1680 E Ste N1 St George UT 84790-2596 Ph: (435) 313-7237	Bridge Clinic, Pllc 230 N 1680 E Ste N1 St George UT 84790-2596 Ph: (435) 313-7237

NPI Details:

NPI Number	1194561670
Provider Enumeration Date	07/03/2024
Last Update Date	09/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4981136967
Medicare Enrollment ID	O20241015003475

Medical Identifiers

Medical identifiers for Bridge Clinic, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194561670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
207N00000X	Dermatology	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridge Clinic, Pllc acts as a billing entity for following providers:

Provider Name	Trent K Kenworthy
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1407321722 PECOS PAC ID: 3971845637 Enrollment ID: I20190429001247

Reviews and Comments

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Bridge Clinic, Pllc - Medicare Primary Care in St George, UT