| Mr Jamison R Ridgeley, MD | |
|
1412 Sw 43rd St, Suite 206, Renton, WA 98057 | |
| (253) 236-5720 | |
| (425) 988-0168 |
| Full Name | Mr Jamison R Ridgeley |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 24 Years |
| Location | 1412 Sw 43rd St, Renton, Washington |
| 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 |
|---|---|---|---|
| 1174780530 | NPI | - | NPPES |
| 1184191603 | Medicaid | WA | |
| 1174780530 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD60638738 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jamison R Ridgeley, MD 1412 Sw 43rd St, Suite 206, Renton, WA 98057 Ph: (253) 236-5720 | Mr Jamison R Ridgeley, MD 1412 Sw 43rd St, Suite 206, Renton, WA 98057 Ph: (253) 236-5720 |
Dr. Samaneh Davoudimoghaddam, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4300 Talbot Rd S Ste 300, Renton, WA 98055 Phone: 425-228-6262 Fax: 425-228-6260 |
George J Ko, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4300 Talbot Rd S, Suite 300, Renton, WA 98055 Phone: 425-228-6262 Fax: 425-228-6260 |
Michael D. Waxman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4300 Talbot Rd S Ste 300, Renton, WA 98055 Phone: 425-228-6260 Fax: 425-228-6262 |
Dr. Jeanne Y Cubanski, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3915 Talbot Rd S, Ste 100, Renton, WA 98055 Phone: 425-690-3415 Fax: 425-690-9003 |
Dr. Richard S. Dohoda, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3915 Talbot Rd S, Ste 100, Renton, WA 98055 Phone: 425-656-5345 Fax: 425-656-5349 |
Dr. Joseph Walter King, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 900 Sw 16th St Ste 200, Renton, WA 98057 Phone: 425-525-2206 |
Dr. Mark Barrett Walker, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1300 Sw 7th St, #105, Renton, WA 98057 Phone: 425-687-7700 Fax: 425-687-7703 |