| Bridgeway Health Clinics, Inc. | |
|
137 Hospital Dr Ne Fort Walton Beach FL 32548-5063 | |
| (850) 833-7500 | |
| (850) 833-7528 |
| Full Name | Bridgeway Health Clinics, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 137 Hospital Dr Ne, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Bonnie R Barlow (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8508333975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Health Clinics, Inc. 137 Hospital Dr Ne Fort Walton Beach FL 32548-5063 Ph: (850) 833-7500 | Bridgeway Health Clinics, Inc. 137 Hospital Dr Ne Fort Walton Beach FL 32548-5063 Ph: (850) 833-7500 |
| NPI Number | 1366000432 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 01/24/2020 |
| Medicare PECOS PAC ID | 6204263403 |
|---|---|
| Medicare Enrollment ID | O20200228000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366000432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Eleanor A Mccain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477564391 PECOS PAC ID: 6901794692 Enrollment ID: I20040305000001 |
| Provider Name | Wyndal K Blankenship |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336132570 PECOS PAC ID: 7517958960 Enrollment ID: I20040524000822 |
| Provider Name | Amanda B Eyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396393443 PECOS PAC ID: 9638506785 Enrollment ID: I20200302000637 |
| Provider Name | Ashley Elizabeth Harte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184851727 PECOS PAC ID: 3072795822 Enrollment ID: I20210415000492 |
| Provider Name | Stephanie M Pfiester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548851918 PECOS PAC ID: 8123417763 Enrollment ID: I20211119001109 |
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