| Dr Robert L Ridgeway Iii, MD | |
|
12 W South St, Manning, SC 29102-2925 | |
| (803) 433-4321 | |
| (803) 433-0075 |
| Full Name | Dr Robert L Ridgeway Iii |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 37 Years |
| Location | 12 W South St, Manning, South Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881689305 | NPI | - | NPPES |
| 146336 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 14633 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Health Clarendon | Manning, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colonial Family Practice Llc | 9931017118 | 60 |
| Entity Name | Hopehealth, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821002411 PECOS PAC ID: 4082510623 Enrollment ID: O20031212000253 |
| Entity Name | Colonial Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518074640 PECOS PAC ID: 9931017118 Enrollment ID: O20040727000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert L Ridgeway Iii, MD 360 N Irby St, Florence, SC 29501-2808 Ph: (843) 667-9414 | Dr Robert L Ridgeway Iii, MD 12 W South St, Manning, SC 29102-2925 Ph: (803) 433-4321 |
Katee Lynn Wyant, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 50 E Hospital St Ste 4a, Manning, SC 29102 Phone: 803-433-0797 Fax: 803-433-0896 | |
Dr. Pauline Mary Anderson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 50 E Hospital St, Suite 4a, Manning, SC 29102 Phone: 803-433-0797 Fax: 803-433-0896 | |
Monica Ploetzke, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 50 E Hospital St Ste 4a, Manning, SC 29102 Phone: 803-433-0797 Fax: 803-433-0896 | |
Dr. Bruce Barry Williams, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 50 E Hospital St Ste 2, Manning, SC 29102 Phone: 803-433-0797 |