Mr Larry Joe Bridwell Jr, FNP in Oakland, CA - Medicare Nurse Practitioner

Mr Larry Joe Bridwell Jr, FNP is a medicare enrolled "Registered Nurse" in Oakland, California. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 280 W Macarthur Blvd, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-0164.

Mr Larry Joe Bridwell Jr is licensed to practice in California (license number 547388) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043362296.

Contact Information

	Mr Larry Joe Bridwell Jr, FNP
	280 W Macarthur Blvd, Oakland, CA 94611-5642
	(510) 752-0164
	(510) 752-7014

Map and Direction

Provider's Profile

Full Name	Mr Larry Joe Bridwell Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	18 Years
Location	280 W Macarthur Blvd, Oakland, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Larry Joe Bridwell Jr graduated from nursing school in 2006

NPI Data:

NPI Number: 1043362296
Provider Enumeration Date: 01/17/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 6103923586
Enrollment ID: I20070518000376

Medical Identifiers

Medical identifiers for Mr Larry Joe Bridwell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043362296	NPI	-	NPPES
16829	Other	CA	NP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	547388 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - San Francisco	San francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Larry Joe Bridwell Jr allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry Joe Bridwell Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Larry Joe Bridwell Jr, FNP 280 W Macarthur Blvd, Oakland, CA 94611-5642 Ph: (510) 752-0164	Mr Larry Joe Bridwell Jr, FNP 280 W Macarthur Blvd, Oakland, CA 94611-5642 Ph: (510) 752-0164

Reviews and Comments

Registered Nurse Nurses in Oakland, CA

Mrs. Sheryl Lee Garcia, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885
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Artesia Deloris Sanders, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2302 103rd Ave, Oakland, CA 94603 Phone: 925-705-2066
Dr. Anndalos Abdulkarim Bindra, DNP, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1950 Franklin St, Oakland, CA 94612 Phone: 805-421-6730

Mr Larry Joe Bridwell Jr, FNP - Medicare Nurse Practitioner in Oakland, CA