Dr Letitia Teray Bridges, MD is a medicare enrolled "Surgery" physician in Manhattan Beach, California. Her current practice location is
316 10th St, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at
(310) 991-8371.
Dr Letitia Teray Bridges is licensed to practice in California (license number A17838) 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 1942475405.
Physician's Profile
| Full Name | Dr Letitia Teray Bridges |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 316 10th St, Manhattan Beach, California |
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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: 1942475405
- Provider Enumeration Date: 04/25/2008
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082785563
- Enrollment ID: I20080611000858
Medical Identifiers
Medical identifiers for Dr Letitia Teray Bridges such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942475405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | A17838 (California) | 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. Dr Letitia Teray Bridges allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Dr Letitia Teray 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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Dr Letitia Teray Bridges, MD
316 10th St,
Manhattan Beach, CA 90266-5408
Ph: (310) 991-8371 | Dr Letitia Teray Bridges, MD
316 10th St,
Manhattan Beach, CA 90266-5408
Ph: (310) 991-8371 |
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