| Bright Self Medicine Llc | |
|
1 Se Ocean Blvd Stuart FL 34994 | |
| (772) 249-2339 | |
| Not Available |
| Full Name | Bright Self Medicine Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Cara Yergen (PRESIDENT) |
| Authorized Official Contact | 7722492339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Self Medicine Llc 1 Se Ocean Blvd Stuart FL 34994-2214 Ph: (772) 249-2339 | Bright Self Medicine Llc 1 Se Ocean Blvd Stuart FL 34994 Ph: (772) 249-2339 |
| NPI Number | 1285400218 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 8224488952 |
|---|---|
| Medicare Enrollment ID | O20231221001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285400218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cara M Yergen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164620845 PECOS PAC ID: 3577635960 Enrollment ID: I20090930000334 |
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