Daniel Lyman Ridout Iii, MD | |
350 W Country Club Rd, Suite #105, Roswell, NM 88201-5205 | |
(575) 624-4651 | |
(575) 624-4875 |
Full Name | Daniel Lyman Ridout Iii |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 46 Years |
Location | 350 W Country Club Rd, Roswell, New Mexico |
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 |
---|---|---|---|
1265427504 | NPI | - | NPPES |
NPI & TIN | Other | NM | BLUE CROSS BLUE SHIELD OF NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 0101237677 (Virginia) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | MD2015-0106 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern New Mexico Medical Center | Roswell, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Roswell Clinic Corp | 9436062759 | 28 |
Entity Name | Roswell Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
Mailing Address | Practice Location Address |
---|---|
Daniel Lyman Ridout Iii, MD 350 W Country Club Rd, Suite #105, Roswell, NM 88201-5205 Ph: (575) 624-4651 | Daniel Lyman Ridout Iii, MD 350 W Country Club Rd, Suite #105, Roswell, NM 88201-5205 Ph: (575) 624-4651 |
Dr. Hany Nagy Yassa, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 505-622-8170 Fax: 505-624-8726 | |
Jelena Markovic, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 402 W Country Club Rd, Roswell, NM 88201 Phone: 575-627-9500 Fax: 575-627-9535 | |
Fundador L Adajar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2890 N Wilshire Blvd, Roswell, NM 88201 Phone: 575-624-0400 Fax: 575-623-1702 | |
Suchitha Bheemreddy, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 248-346-5640 | |
Robert A Rader, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 402 W Country Club Road, Roswell, NM 88201 Phone: 575-627-9500 Fax: 575-627-9510 | |
Orlando Artavia Diniz, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-627-4077 Fax: 575-624-5607 | |
Dr. Atia Shireen Hashim, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 311 W Country Club Rd, Ste 1, Roswell, NM 88201 Phone: 575-623-2836 Fax: 575-623-2841 |