Dwan C Cole-bridges, LPC-S is a medicare enrolled "Counselor - Professional" provider in Monticello, Mississippi. Her current practice location is
1549 W Broad St, Monticello, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 278-5569.
Dwan C Cole-bridges is licensed to practice in Mississippi (license number 1458) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730311408.
Healthcare Provider's Profile
| Full Name | Dwan C Cole-bridges |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 1549 W Broad St, Monticello, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730311408
- Provider Enumeration Date: 08/14/2009
- Last Update Date: 09/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719337062
- Enrollment ID: I20231228001735
Medical Identifiers
Medical identifiers for Dwan C Cole-bridges such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730311408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 1458 (Mississippi) | Primary |
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. Dwan C Cole-bridges allows following entities to bill medicare on her behalf.
| Entity Name | Bridges Professional Counseling And Consulting Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093376006
PECOS PAC ID: 5092165340
Enrollment ID: O20231228001567 |
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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. Dwan C Cole-bridges 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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Dwan C Cole-bridges, LPC-S
1549 W Broad St,
Monticello, MS 39654-3658
Ph: (601) 278-5569 | Dwan C Cole-bridges, LPC-S
1549 W Broad St,
Monticello, MS 39654-3658
Ph: (601) 278-5569 |
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