| Dr Reuben Benjamin Ridgeway, PHD | |
|
1175 Cook Rd Ste 305, Orangeburg, SC 29118-8247 | |
| (803) 395-3715 | |
| (803) 395-3719 |
| Full Name | Dr Reuben Benjamin Ridgeway |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 21 Years |
| Location | 1175 Cook Rd Ste 305, Orangeburg, South Carolina |
| 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 |
|---|---|---|---|
| 1821237389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1092 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Reuben Benjamin Ridgeway, PHD 490 Brewton St, Orangeburg, SC 29115-4218 Ph: (803) 707-3634 | Dr Reuben Benjamin Ridgeway, PHD 1175 Cook Rd Ste 305, Orangeburg, SC 29118-8247 Ph: (803) 395-3715 |
Dr. Kelly L Russo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1767 Village Park Dr, Orangeburg, SC 29118 Phone: 803-776-4000 Fax: 803-536-1719 | |
Dr. Valerie Louise Holmstrom, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1205 Hutto St, Orangeburg, SC 29118 Phone: 803-536-3100 Fax: 803-536-3100 | |
Ms. Arnitha Butler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 392 Orangepark Dr, Orangeburg, SC 29115 Phone: 803-534-8866 Fax: 803-534-8866 |