Tricia L Etheridge, MD is a medicare enrolled "General Practice" physician in Ridgeland, South Carolina. Her current practice location is
109 S Green St, Ridgeland, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 726-6773.
Tricia L Etheridge is licensed to practice in South Carolina (license number 19547) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366531162.
Physician's Profile
| Full Name | Tricia L Etheridge |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 109 S Green St, Ridgeland, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tricia L Etheridge attended and graduated from in
NPI Data:
- NPI Number: 1366531162
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 12/14/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tricia L Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366531162 | NPI | - | NPPES |
| 320114664 | Other | SC | BLUE CROSS BLUE SHIELD |
| 42D1028556 | Other | SC | CLIA |
| DC4084 | Other | SC | RAIL ROAD MEDICARE |
| 320114664 | Other | SC | TAX ID |
| 19547 | Other | SC | LICENSE # |
| L25587 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 19547 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tricia L Etheridge is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tricia L Etheridge, MD
109 S Green St,
Ridgeland, SC 29936-9165
Ph: (843) 726-6773 | Tricia L Etheridge, MD
109 S Green St,
Ridgeland, SC 29936-9165
Ph: (843) 726-6773 |
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