| Ryan Ridgway Watson, MD | |
|
3050 Montvale Dr Ste A, Springfield, IL 62704-6924 | |
| (217) 726-8096 | |
| Not Available |
| Full Name | Ryan Ridgway Watson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 3050 Montvale Dr Ste A, Springfield, Illinois |
| 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 |
|---|---|---|---|
| 1548202757 | NPI | - | NPPES |
| 036065197 | Medicaid | IL | |
| 201023009 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036110785 (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2009010660 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Orange Park Medical Center | Orange park, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Radiologists Sc | 3476540873 | 34 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Crawford Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
| Entity Name | Clinical Radiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20040428000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Ridgway Watson, MD 2040 W Iles Ave Ste C, Springfield, IL 62704-4183 Ph: (217) 789-0668 | Ryan Ridgway Watson, MD 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 Ph: (217) 726-8096 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Medicare Enrolled Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |