| Bridgeway Center Inc | |
|
137 Hospital Drive Fort Walton Beach FL 32548 | |
| (850) 833-7512 | |
| (850) 833-7434 |
| Full Name | Bridgeway Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 137 Hospital Drive, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Clayton Randall Mcallister (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8506340050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Center Inc 137 Hospital Dr Ne Fort Walton Beach FL 32548-5063 Ph: (850) 833-7500 | Bridgeway Center Inc 137 Hospital Drive Fort Walton Beach FL 32548 Ph: (850) 833-7512 |
| NPI Number | 1578677076 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 0446153084 |
|---|---|
| Medicare Enrollment ID | O20040130000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578677076 | NPI | - | NPPES |
| 060398823 | Medicaid | FL |
| Provider Name | Kathelen Blue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043283310 PECOS PAC ID: 0143291682 Enrollment ID: I20040805001339 |
| Provider Name | Susanna Olson Buchholz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386638864 PECOS PAC ID: 2062471980 Enrollment ID: I20041006001293 |
| Provider Name | Sikandar Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215904453 PECOS PAC ID: 4183813298 Enrollment ID: I20110105000467 |
| Provider Name | Jonathan C Boydston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629042080 PECOS PAC ID: 4486843596 Enrollment ID: I20110105000560 |
| Provider Name | Kay Whitten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639145469 PECOS PAC ID: 3779772074 Enrollment ID: I20110118000382 |
| Provider Name | Marla Michaels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447312749 PECOS PAC ID: 0244221661 Enrollment ID: I20120328000240 |
| Provider Name | Esther Undag Elphick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184834780 PECOS PAC ID: 2567610215 Enrollment ID: I20120921000167 |
| Provider Name | Jeffrey A Arney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366511099 PECOS PAC ID: 9638303456 Enrollment ID: I20131010001365 |
| Provider Name | Margaret I Andem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679670533 PECOS PAC ID: 7113928292 Enrollment ID: I20140313001257 |
| Provider Name | Denise Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609288513 PECOS PAC ID: 8921317140 Enrollment ID: I20151028002608 |
| Provider Name | April Bullock Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588125298 PECOS PAC ID: 1254673676 Enrollment ID: I20190503000559 |
| Provider Name | Mary Jean Pflugradt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659582815 PECOS PAC ID: 2860819448 Enrollment ID: I20200827001327 |
| Provider Name | Scott A Saucer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578176673 PECOS PAC ID: 1254741457 Enrollment ID: I20201028003196 |
| Provider Name | Roberta Leigh Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003415076 PECOS PAC ID: 4688085947 Enrollment ID: I20201118001422 |
| Provider Name | Ariya F Mcgrory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861792467 PECOS PAC ID: 0042623068 Enrollment ID: I20210113000646 |
| Provider Name | Stephanie M Pfiester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548851918 PECOS PAC ID: 8123417763 Enrollment ID: I20211119001109 |
| Provider Name | Lianne M Maupin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881160141 PECOS PAC ID: 9931592722 Enrollment ID: I20220129000112 |
| Provider Name | Matthew Larsen Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174976120 PECOS PAC ID: 1456721182 Enrollment ID: I20221221001474 |
| Provider Name | Cindy Cheryl White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073115960 PECOS PAC ID: 5193195790 Enrollment ID: I20221222001519 |
| Provider Name | Candi Lynn Buttke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578270484 PECOS PAC ID: 7517329519 Enrollment ID: I20230808001388 |
| Provider Name | Jennifer Ann Nicola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285107615 PECOS PAC ID: 8022465855 Enrollment ID: I20231115002701 |
| Provider Name | Amanda J Puett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790566008 PECOS PAC ID: 4082051560 Enrollment ID: I20240319003803 |
| Provider Name | Larry C Mcfarland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588631725 PECOS PAC ID: 1951741404 Enrollment ID: I20240430004479 |
Meta Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-4160 | |
Children's Home Society Of Florida Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Harris Rd Ne, Fort Walton Beach, FL 32547 Phone: 407-375-2565 | |
Family & Child Development Of Northwest Florida, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Miracle Strip Pkwy Sw, Suite B-3, Fort Walton Beach, FL 32548 Phone: 850-862-3772 Fax: 850-863-4574 | |
St Simons Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Miracle Strip Pkwy Sw, Fort Walton Beach, FL 32548 Phone: 850-244-8448 Fax: 850-244-4888 | |
Beyond Expectations Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 3rd St Shalimar, Fort Walton Beach, FL 32579 Phone: 850-362-6824 | |
Sheri A Levitus Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 68 Beal Pkwy Sw, Fort Walton Beach, FL 32548 Phone: 850-243-7035 Fax: 850-243-8529 | |
Satori Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Lewis Turner Blvd Ste C, Fort Walton Beach, FL 32547 Phone: 850-616-7131 |