Ridgewood Clinics Pa - Medicare Mental Health Clinic in Jackson, MS

Ridgewood Clinics Pa is a medicare enrolled mental health clinic (Counselor - Mental Health) in Jackson, Mississippi. The current practice location for Ridgewood Clinics Pa is 1059 Ridgewood Clinic, Jackson, Mississippi. For appointments, you can reach them via phone at (601) 957-3211. The mailing address for Ridgewood Clinics Pa is 1059 Ridgewood Clinic, Jackson, Mississippi and phone number is (601) 957-3211.

Ridgewood Clinics Pa is licensed to practice in Mississippi (license number 12941). The clinic also participates in the medicare program and its NPI number is 1023233749. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 957-3211.

Contact Information

Ridgewood Clinics Pa
1059 Ridgewood Clinic
Jackson
MS 39211
(601) 957-3211
(601) 957-9753

Map and Direction


Mental Health Clinic Profile

Full NameRidgewood Clinics Pa
SpecialityCounselor
Location1059 Ridgewood Clinic, Jackson, Mississippi
Authorized Official Name and PositionKrishan K. Gupta (PHYSICIAN)
Authorized Official Contact6019573211
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ridgewood Clinics Pa
1059 Ridgewood Clinic
Jackson
MS 39211

Ph: (601) 957-3211
Ridgewood Clinics Pa
1059 Ridgewood Clinic
Jackson
MS 39211

Ph: (601) 957-3211

NPI Details:

NPI Number1023233749
Provider Enumeration Date04/16/2007
Last Update Date08/27/2014

Medicare PECOS Information:

Medicare PECOS PAC ID8224029871
Medicare Enrollment IDO20040721000250

Medical Identifiers

Medical identifiers for Ridgewood Clinics Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023233749NPI-NPPES
09013996MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 12941 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ridgewood Clinics Pa acts as a billing entity for following providers:
Provider NameSusan F Snyder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073573176
PECOS PAC ID: 0941214860
Enrollment ID: I20060131000356
Provider NameKrishan K. Gupta
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598769176
PECOS PAC ID: 7517958176
Enrollment ID: I20120201000804
Provider NameClaire Tyler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902152937
PECOS PAC ID: 5799056032
Enrollment ID: I20170804002812
Provider NameAdriane Wright Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811473481
PECOS PAC ID: 1557790490
Enrollment ID: I20200329000323
Provider NameBrandy Alexandra Rutland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225628761
PECOS PAC ID: 1052728698
Enrollment ID: I20210329000694
Provider NameRachael L Stout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871366476
PECOS PAC ID: 6002250537
Enrollment ID: I20240222003554

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.