| Ms Amanda Rydberg, PA | |
|
4 Fuller St, Alexandria Bay, NY 13607-1391 | |
| (315) 482-2511 | |
| (315) 482-5553 |
| Full Name | Ms Amanda Rydberg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 4 Fuller St, Alexandria Bay, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134147333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 007079 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| River Hospital Clinics | Alexandria bay, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Hospital Inc | 2567372899 | 36 |
| Entity Name | River Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003814641 PECOS PAC ID: 2567372899 Enrollment ID: O20040614001352 |
| Entity Name | Emergency Physician Services of New York, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
| Entity Name | Claxton Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114164944 PECOS PAC ID: 0244389153 Enrollment ID: O20090526000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amanda Rydberg, PA 4 Fuller St, Alexandria Bay, NY 13607-1316 Ph: (315) 482-2511 | Ms Amanda Rydberg, PA 4 Fuller St, Alexandria Bay, NY 13607-1391 Ph: (315) 482-2511 |
Mr. Bradley Duane Frey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4 Fuller St, Alexandria Bay, NY 13607 Phone: 315-482-1203 Fax: 315-482-4911 |
Richard F Corcoran, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Fuller St, River Hospital, Alexandria Bay, NY 13607 Phone: 315-482-1111 Fax: 315-482-4981 |
Joanne Atkinson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Fuller St, Alexandria Bay, NY 13607 Phone: 315-482-2511 |