Ridgewood Emergency Group, LLC

A Medicare group practice based in Davenport, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305199597), with 111 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305199597The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
1
Group size
43 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20181106001193 FL Part B Supplier - Clinic/Group Practice 1750862694

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 111

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (111) or whom Care Compare lists as members (43).

Sources for this page