Mr John B Ridgeway, LLP LMSW CAAC SAP is a medicare enrolled "Social Worker - Clinical" provider in Flint, Michigan. His current practice location is
G 4511 Miller Rd, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 720-0640.
Mr John B Ridgeway is licensed to practice in Michigan (license number 6801013086) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881624146.
Healthcare Provider's Profile
| Full Name | Mr John B Ridgeway |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | G 4511 Miller Rd, Flint, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881624146
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 07/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 1658338710
- Enrollment ID: I20041210000408
Medical Identifiers
Medical identifiers for Mr John B Ridgeway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881624146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC-I,SAP (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301003780 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801013086 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr John B Ridgeway allows following entities to bill medicare on his behalf.
| Entity Name | John B Ridgeway,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861412371
PECOS PAC ID: 7517975659
Enrollment ID: O20060330000469 |
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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. Mr John B Ridgeway 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 |
|---|
Mr John B Ridgeway, LLP LMSW CAAC SAP
G 4511 Miller Rd,
Flint, MI 48507-1107
Ph: (810) 720-0640 | Mr John B Ridgeway, LLP LMSW CAAC SAP
G 4511 Miller Rd,
Flint, MI 48507-1107
Ph: (810) 720-0640 |
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