Jeffrey Dean Ridge, FNP-C | |
116 W Minnesota Avenue, Mccloud, CA 96057 | |
(530) 964-2389 | |
(530) 964-3141 |
Full Name | Jeffrey Dean Ridge |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 116 W Minnesota Avenue, Mccloud, California |
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 |
---|---|---|---|
1083180533 | NPI | - | NPPES |
1083180533 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP139196 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95011517 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
Fairchild Medical Center | Yreka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mccloud Healthcare Clinic, Inc. | 3779494919 | 8 |
Entity Name | Mccloud Healthcare Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164428488 PECOS PAC ID: 3779494919 Enrollment ID: O20031118001091 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Dean Ridge, FNP-C 116 W Minnesota Avenue, Mccloud, CA 96057 Ph: (530) 964-2389 | Jeffrey Dean Ridge, FNP-C 116 W Minnesota Avenue, Mccloud, CA 96057 Ph: (530) 964-2389 |
Dr. Megan Hoy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 W. Minnesota Ave., Mccloud, CA 96057 Phone: 530-964-2389 | |
Denise Lewis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 W Minnesota Ave, Mccloud, CA 96057 Phone: 530-964-2389 |