Dr Robert M Ridout, MD | |
2600 Saint Michael Dr, Texarkana, TX 75503-2372 | |
(903) 614-2850 | |
(903) 614-6349 |
Full Name | Dr Robert M Ridout |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 44 Years |
Location | 2600 Saint Michael Dr, Texarkana, Texas |
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 |
---|---|---|---|
1710967146 | NPI | - | NPPES |
1710967146 | Other | NPI | |
P00063095 | Other | TX | RR MEDICARE |
038077601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | F7096 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Delta Pathology Group Llc | 4789639089 | 32 |
Texarkana Gastroenterology Consultants | 0345212817 | 12 |
The Delta Pathology Group Llc | 4789639089 | 32 |
The Delta Pathology Group Llc | 4789639089 | 32 |
Entity Name | The Delta Pathology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20200625001744 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert M Ridout, MD Po Box 3780, Tupelo, MS 38803-3780 Ph: () - | Dr Robert M Ridout, MD 2600 Saint Michael Dr, Texarkana, TX 75503-2372 Ph: (903) 614-2850 |
Dr. Bryan J Griffin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5405 Plaza Dr, Texarkana, TX 75503 Phone: 903-223-5200 Fax: 903-223-5213 | |
Aruna N. Sheth, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5808 Stoneridge Dr, Texarkana, TX 75503 Phone: 903-832-6608 Fax: 903-838-5015 | |
Dr. Jennifer A Mulhollan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5405 Plaza Dr, Texarkana, TX 75503 Phone: 903-223-5200 Fax: 903-223-5212 | |
Stephen R Parish, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 |