| Matthew Kevin Rydberg, MD | |
|
1200 N Beaver St, Flagstaff, AZ 86001-3118 | |
| (928) 214-2920 | |
| Not Available |
| Full Name | Matthew Kevin Rydberg |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 1200 N Beaver St, Flagstaff, Arizona |
| 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 |
|---|---|---|---|
| 1649285446 | NPI | - | NPPES |
| 1295993376 | Medicaid | AZ | |
| 745135 | Medicaid | AZ | |
| 1629236716 | Medicaid | AZ | |
| 1780614008 | Medicaid | AZ | |
| 1871523191 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26042 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 26042 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Whiteriver Phs Indian Hospital | Whiteriver, AZ | Hospital |
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs Ihs Phoenix Area | 2668649567 | 65 |
| Northern Arizona Healthcare Corporation | 3577473362 | 382 |
| Entity Name | Kayenta Alternative Rural Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Kevin Rydberg, MD 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Matthew Kevin Rydberg, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 214-2920 |
Dr. Sanya Aysha Kayani, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-2920 Fax: 928-214-2925 | |
Dr. Mohammed S Alani, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-2920 | |
Dr. Christine Marie Kneisel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-2920 Fax: 928-214-2925 | |
Edward G Paul, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-522-9400 Fax: 928-774-4808 | |
Daniel Hyunjae Lee, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 282-142-9209 | |
Audrey Lee, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-2920 Fax: 928-214-2925 | |
Dr. Matthew Randolph, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-2920 |