| Bridgecare Specialists | |
|
120 N Washington Sq Ste 300 Lansing MI 48933-1658 | |
| (517) 258-0344 | |
| (517) 879-0374 |
| Full Name | Bridgecare Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 120 N Washington Sq Ste 300, Lansing, Michigan |
| Authorized Official Name and Position | Harshini A Jayasuriya (OWNER) |
| Authorized Official Contact | 5172580344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgecare Specialists 120 N Washington Sq Ste 300 Lansing MI 48933-1658 Ph: (517) 258-0344 | Bridgecare Specialists 120 N Washington Sq Ste 300 Lansing MI 48933-1658 Ph: (517) 258-0344 |
| NPI Number | 1184238966 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 05/12/2024 |
| Medicare PECOS PAC ID | 8325467012 |
|---|---|
| Medicare Enrollment ID | O20200930000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184238966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Harshini A Jayasuriya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043507833 PECOS PAC ID: 9931326923 Enrollment ID: I20140815000059 |
| Provider Name | Alisha Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083386353 PECOS PAC ID: 5395199871 Enrollment ID: I20231003000467 |
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