Trail City Wellness Llc is a medicare enrolled mental health clinic (Clinical Nurse Specialist - Psychiatric/mental Health) in Bridgeport, Nebraska. The current practice location for Trail City Wellness Llc is 1015 Main St Ste 3, Bridgeport, Nebraska. For appointments, you can reach them via phone at (308) 672-1907. The mailing address for Trail City Wellness Llc is Po Box 1083, Bridgeport, Nebraska and phone number is (308) 672-1907.
Trail City Wellness Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548018021. 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 (308) 672-1907.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Trail City Wellness Llc Po Box 1083 Bridgeport NE 69336-1083 Ph: (308) 672-1907
Trail City Wellness Llc 1015 Main St Ste 3 Bridgeport NE 69336-4057 Ph: (308) 672-1907
NPI Details:
NPI Number
1548018021
Provider Enumeration Date
05/09/2024
Last Update Date
05/09/2024
Certification Date
05/08/2024
Medicare PECOS Information:
Medicare PECOS PAC ID
4688118383
Medicare Enrollment ID
O20240705002071
Medical Identifiers
Medical identifiers for Trail City Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1548018021
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
261QM0801X
Clinic/center - Mental Health (including Community Mental Health Center)
(* (Not Available))
Secondary
364SP0808X
Clinical Nurse Specialist - Psychiatric/mental Health
(* (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. Trail City Wellness Llc acts as a billing entity for following providers: