Dr Reuben Benjamin Ridgeway, PHD | |
1175 Cook Rd Ste 305, Orangeburg, SC 29118-8247 | |
(803) 395-3715 | |
(803) 395-3719 |
Full Name | Dr Reuben Benjamin Ridgeway |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 19 Years |
Location | 1175 Cook Rd Ste 305, Orangeburg, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821237389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1092 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Musc Community Physicians | 6507260668 | 793 |
Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Dr Reuben Benjamin Ridgeway, PHD 490 Brewton St, Orangeburg, SC 29115-4218 Ph: (803) 707-3634 | Dr Reuben Benjamin Ridgeway, PHD 1175 Cook Rd Ste 305, Orangeburg, SC 29118-8247 Ph: (803) 395-3715 |
Dr. Kelly L Russo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1767 Village Park Dr, Orangeburg, SC 29118 Phone: 803-776-4000 Fax: 803-536-1719 | |
Dr. Valerie Louise Holmstrom, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1205 Hutto St, Orangeburg, SC 29118 Phone: 803-536-3100 Fax: 803-536-3100 | |
Ms. Arnitha Butler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 392 Orangepark Dr, Orangeburg, SC 29115 Phone: 803-534-8866 Fax: 803-534-8866 |