Jovie N Bridgewater, MD | |
7601 Southcrest Pkwy, Southaven, MS 38671-4739 | |
(662) 349-4000 | |
(334) 244-1830 |
Full Name | Jovie N Bridgewater |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 43 Years |
Location | 7601 Southcrest Pkwy, Southaven, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831176973 | NPI | - | NPPES |
00116459 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 16307 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-south Anesthesia Consultants, Pllc | 0244223196 | 3 |
American Anesthesiology Of Mississippi Llc | 4789057878 | 33 |
Entity Name | Mid-south Anesthesia Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869520 PECOS PAC ID: 0244223196 Enrollment ID: O20040406001057 |
Entity Name | American Anesthesiology Of Mississippi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023723558 PECOS PAC ID: 4789057878 Enrollment ID: O20230311000163 |
Mailing Address | Practice Location Address |
---|---|
Jovie N Bridgewater, MD Po Box 235022, Montgomery, AL 36123-5022 Ph: (334) 386-2053 | Jovie N Bridgewater, MD 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 349-4000 |
Keith Porter, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 662-349-2659 | |
Sandra Joann Reed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 334-386-2053 Fax: 334-244-1830 | |
Rodney D. Rothstein, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 334-386-2053 Fax: 334-244-1830 |