Michael Joe Ridley, PA is a medicare enrolled "Physician Assistant" in Camden, Tennessee. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Urgent Care Enterprise Llc and his current practice location is
306 Highway 641 N, Camden, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 584-1523.
Michael Joe Ridley is licensed to practice in Tennessee (license number PA1373) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023124161.
Provider's Profile
| Full Name | Michael Joe Ridley |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 306 Highway 641 N, Camden, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Joe Ridley graduated from nursing school in 2006
NPI Data:
- NPI Number: 1023124161
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 08/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 0345246187
- Enrollment ID: I20061018000328
Medical Identifiers
Medical identifiers for Michael Joe Ridley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023124161 | NPI | - | NPPES |
| 3380640 | Medicaid | TN | |
| PA1373 | Other | TN | MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA1373 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Urgent Care Enterprise Llc | 5496998155 | 67 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Joe Ridley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Joe Ridley, PA
Po Box 25,
Huntingdon, TN 38344-0025
Ph: (731) 986-2213 | Michael Joe Ridley, PA
306 Highway 641 N,
Camden, TN 38320-3012
Ph: (731) 584-1523 |
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