Lisa G. Bridgewater, Ph.d. Pa in Rock Hill, SC

Lisa G. Bridgewater, Ph.d. Pa is a medicare enrolled mental health clinic (Psychologist) in Rock Hill, South Carolina. The current practice location for Lisa G. Bridgewater, Ph.d. Pa is 229 Johnston St, Rock Hill, South Carolina. For appointments, you can reach them via phone at (803) 517-0322. The mailing address for Lisa G. Bridgewater, Ph.d. Pa is Po Box 828, Chester, South Carolina and phone number is (803) 517-0322.

Lisa G. Bridgewater, Ph.d. Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699105882. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 517-0322.

Contact Information

	Lisa G. Bridgewater, Ph.d. Pa
	229 Johnston St Rock Hill SC 29730-3579
	(803) 517-0322
	(803) 328-1866

Map and Direction

Mental Health Clinic Profile

Full Name	Lisa G. Bridgewater, Ph.d. Pa
Speciality	Psychologist
Location	229 Johnston St, Rock Hill, South Carolina
Authorized Official Name and Position	Lisa Bridgewater (PRESIDENT)
Authorized Official Contact	8035170322
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lisa G. Bridgewater, Ph.d. Pa Po Box 828 Chester SC 29706-0828 Ph: (803) 517-0322	Lisa G. Bridgewater, Ph.d. Pa 229 Johnston St Rock Hill SC 29730-3579 Ph: (803) 517-0322

NPI Details:

NPI Number	1699105882
Provider Enumeration Date	11/25/2013
Last Update Date	11/25/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	9830313758
Medicare Enrollment ID	O20140617000231

Medical Identifiers

Medical identifiers for Lisa G. Bridgewater, Ph.d. Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699105882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lisa G. Bridgewater, Ph.d. Pa acts as a billing entity for following providers:

Provider Name	Lisa Grey Bridgewater
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1366403081 PECOS PAC ID: 8022105188 Enrollment ID: I20071106000532

Reviews and Comments

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Lisa G. Bridgewater, Ph.d. Pa - Medicare Mental Health Clinic in Rock Hill, SC