Shane Thomas Ridge, DO | |
250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | |
(860) 358-3640 | |
(860) 358-8656 |
Full Name | Shane Thomas Ridge |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 250 Flat Rock Pl, Westbrook, Connecticut |
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 |
---|---|---|---|
1780884569 | NPI | - | NPPES |
008024237 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 045427 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Middlesex Hospital Homecare | Middletown, CT | Hospice |
Middlesex Hospital | Middletown, CT | Hospital |
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mhs Primary Care, Inc | 4082507371 | 143 |
Entity Name | Mhs Primary Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740666312 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945 |
Mailing Address | Practice Location Address |
---|---|
Shane Thomas Ridge, DO 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-4820 | Shane Thomas Ridge, DO 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 Ph: (860) 358-3640 |
David E Walker, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656 | |
Jennifer Lyn Sutherland, M.D., M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Place, Phys Off 1, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656 | |
Gregory J Kundrat, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Grove Beach Rd North, Building 1, Unit A, Westbrook, CT 06498 Phone: 860-664-3553 Fax: 860-664-3756 | |
Jason Ziegler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656 | |
Dr. Robert W Kyrcz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656 | |
Valerie M Small, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656 |