| Calvin A Ridgeway, MD | |
|
4701 Montgomery Blvd Ne, Breast Care Center, Albuquerque, NM 87109-1219 | |
| (505) 727-6900 | |
| (505) 727-6913 |
| Full Name | Calvin A Ridgeway |
|---|---|
| Gender | Male |
| Speciality | Surgical Oncology |
| Experience | 38 Years |
| Location | 4701 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184718579 | NPI | - | NPPES |
| 56476 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 94373 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Women's Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 298 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | Lovelace Health System Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245798024 PECOS PAC ID: 9739099326 Enrollment ID: O20031210000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin A Ridgeway, MD 4701 Montgomery Blvd Ne, Breast Care Center, Albuquerque, NM 87109-1219 Ph: () - | Calvin A Ridgeway, MD 4701 Montgomery Blvd Ne, Breast Care Center, Albuquerque, NM 87109-1219 Ph: (505) 727-6900 |
Dr. Ryan P. Tyner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Albuquerque, NM 87114 Phone: 505-262-7281 | |
Dr. Edward J O'reilly, MD Surgery Medicare: Medicare Enrolled Practice Location: 201 Cedar St Se Ste 306, Albuquerque, NM 87106 Phone: 505-224-7478 | |
Krista L Turner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-6441 | |
Dr. Sylvia Marina Ramos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1010 Las Lomas Rd Ne, Suite #1, Albuquerque, NM 87102 Phone: 505-248-1518 Fax: 505-248-1610 | |
Laura Medina, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Jefferson St Ne, Albuquerque, NM 87109 Phone: 505-925-7464 | |
Dr. Brian Lee Holt, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 715 Martin Luther King Ave Ne, Suite 301, Albuquerque, NM 87102 Phone: 505-262-7281 Fax: 505-262-7622 | |
Deanna Gonzalez, Surgery Medicare: Not Enrolled in Medicare Practice Location: Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4161 Fax: 505-272-2776 |