| Matthew C Ridder, ARNP | |
|
206 S Grand Ave, Saint Marys, KS 66536-1637 | |
| (785) 437-3734 | |
| (785) 437-6186 |
| Full Name | Matthew C Ridder |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 206 S Grand Ave, Saint Marys, Kansas |
| 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 |
|---|---|---|---|
| 1619082815 | NPI | - | NPPES |
| 100293270F | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 44629 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 44629 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Minneola District Hospital | Minneola, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minneola District Hospital Nbr 2 | 1355252545 | 14 |
| Entity Name | Gracemed Health Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184691693 PECOS PAC ID: 9830098185 Enrollment ID: O20040106000520 |
| Entity Name | South Central Kansas Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679672323 PECOS PAC ID: 1456245802 Enrollment ID: O20040209000555 |
| Entity Name | Greenwood County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044961 PECOS PAC ID: 0042129603 Enrollment ID: O20040920000432 |
| Entity Name | Commonspirit Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
| Entity Name | Minneola District Hospital Nbr 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376625749 PECOS PAC ID: 1355252545 Enrollment ID: O20050302000745 |
| Entity Name | Minneola District Hospital Nbr 2 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013009828 PECOS PAC ID: 1355252545 Enrollment ID: O20070223000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew C Ridder, ARNP 1306 State St, Augusta, KS 67010-1126 Ph: (316) 775-9191 | Matthew C Ridder, ARNP 206 S Grand Ave, Saint Marys, KS 66536-1637 Ph: (785) 437-3734 |