| Bridgeway Clinics Llc | |
|
4429 S River Blvd Independence MO 64055-4659 | |
| (816) 786-4253 | |
| Not Available |
| Full Name | Bridgeway Clinics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4429 S River Blvd, Independence, Missouri |
| Authorized Official Name and Position | Sheila Hale (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8167864253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Clinics Llc 4429 S River Blvd Independence MO 64055-4659 Ph: (816) 786-4253 | Bridgeway Clinics Llc 4429 S River Blvd Independence MO 64055-4659 Ph: (816) 786-4253 |
| NPI Number | 1609510809 |
|---|---|
| Provider Enumeration Date | 04/24/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 3577942903 |
|---|---|
| Medicare Enrollment ID | O20220615001594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609510809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nabil A El Halawany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790761260 PECOS PAC ID: 3577523489 Enrollment ID: I20041014001130 |
| Provider Name | Marcie Shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083864888 PECOS PAC ID: 1658537386 Enrollment ID: I20120725000496 |
| Provider Name | Rosemarie A Romain Tyson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780697086 PECOS PAC ID: 4688715949 Enrollment ID: I20170306000086 |
| Provider Name | Emeka Ogwudile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538690920 PECOS PAC ID: 3678847175 Enrollment ID: I20170921003501 |
| Provider Name | Molly Oligbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437646650 PECOS PAC ID: 8921363292 Enrollment ID: I20180607002497 |
| Provider Name | Meron Tibebu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065215 PECOS PAC ID: 0042565756 Enrollment ID: I20180621000770 |
| Provider Name | Roopa Patel Mokha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376992479 PECOS PAC ID: 9032467493 Enrollment ID: I20180801003878 |
| Provider Name | Ashley Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538542642 PECOS PAC ID: 6305173279 Enrollment ID: I20240401001621 |
| Provider Name | Amy Todd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902590532 PECOS PAC ID: 8123469640 Enrollment ID: I20240515002986 |
Hill And Associates Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19401 E Us Highway 40, Ste 150, Independence, MO 64055 Phone: 816-795-9292 Fax: 816-795-6985 | |
Kansas City Psychiatric And Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4731 S Cochise Dr, Suite 206, Independence, MO 64055 Phone: 816-373-6400 Fax: 816-478-9008 | |
Autism Support Now, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 S Cliff Ave Ste 103, Independence, MO 64055 Phone: 816-608-1956 Fax: 800-687-5070 | |
Aha Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 N Cherokee St, Independence, MO 64058 Phone: 816-298-9456 | |
Embark Virtual At Missouri Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3205 N Twyman Rd, Independence, MO 64058 Phone: 480-550-9281 | |
Breakthrough Counseling Kc, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4801 S Cliff Ave Ste 214a, Independence, MO 64055 Phone: 816-875-6868 Fax: 816-875-4199 | |
Lives Without Limits Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W 23rd St, Independence, MO 64055 Phone: 816-517-7288 Fax: 816-908-9210 |