Ricky L Kidman, PA-C is a medicare enrolled "Physician Assistant - Medical" in Aynor, South Carolina. His current practice location is
51 11th Avenue, Aynor, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 358-3700.
Ricky L Kidman is licensed to practice in South Carolina (license number 1094) 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 1962466532.
Provider's Profile
| Full Name | Ricky L Kidman |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 51 11th Avenue, Aynor, South Carolina |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ricky L Kidman attended and graduated from in
NPI Data:
- NPI Number: 1962466532
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 12/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ricky L Kidman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962466532 | NPI | - | NPPES |
| 1140PA | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 1094 (South Carolina) | Primary |
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. Ricky L Kidman 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 |
|---|
Ricky L Kidman, PA-C
300 Singleton Ridge Rd, Attention Pns Credentialing,
Conway, SC 29526-9142
Ph: (843) 234-6946 | Ricky L Kidman, PA-C
51 11th Avenue,
Aynor, SC 29511-3249
Ph: (843) 358-3700 |
Reviews and Comments