Ridge Medical Group Pa is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ammon, Idaho. Their current practice location is
2677 E 17th St Ste 200, Ammon, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 741-3660.
Ridge Medical Group Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ridge Medical Group Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1922736842.
Healthcare Provider's Profile
| Full Name | Ridge Medical Group Pa |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 2677 E 17th St Ste 200, Ammon, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922736842
- Provider Enumeration Date: 08/09/2022
- Last Update Date: 09/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789051566
- Enrollment ID: O20221108001651
Medical Identifiers
Medical identifiers for Ridge Medical Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922736842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ridge Medical Group Pa acts as a billing entity for following providers:
| Provider Name | Braden Thomas Jenkins |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1609337682
PECOS PAC ID: 7719363266
Enrollment ID: I20221108001753 |
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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. Ridge Medical Group Pa 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 |
|---|
Ridge Medical Group Pa
2677 E 17th St Ste 200,
Ammon, ID 83406-6612
Ph: (208) 741-3660 | Ridge Medical Group Pa
2677 E 17th St Ste 200,
Ammon, ID 83406-6612
Ph: (208) 741-3660 |
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