Ridgewood Clinics Pa - Medicare Mental Health Clinic in Jackson, MS

Ridgewood Clinics Pa is a medicare enrolled mental health clinic (Counselor - Mental Health) in Jackson, Mississippi. The current practice location for Ridgewood Clinics Pa is 1059 Ridgewood Clinic, Jackson, Mississippi. For appointments, you can reach them via phone at (601) 957-3211. The mailing address for Ridgewood Clinics Pa is 1059 Ridgewood Clinic, Jackson, Mississippi and phone number is (601) 957-3211.

Ridgewood Clinics Pa is licensed to practice in Mississippi (license number 12941). The clinic also participates in the medicare program and its NPI number is 1023233749. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 957-3211.

Contact Information

Ridgewood Clinics Pa
1059 Ridgewood Clinic
Jackson
MS 39211
(601) 957-3211
(601) 957-9753

Mental Health Clinic Profile

Full NameRidgewood Clinics Pa
SpecialityCounselor
Location1059 Ridgewood Clinic, Jackson, Mississippi
Authorized Official Name and PositionKrishan K. Gupta (PHYSICIAN)
Authorized Official Contact6019573211
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ridgewood Clinics Pa
1059 Ridgewood Clinic
Jackson
MS 39211

Ph: (601) 957-3211
Ridgewood Clinics Pa
1059 Ridgewood Clinic
Jackson
MS 39211

Ph: (601) 957-3211

NPI Details:

NPI Number1023233749
Provider Enumeration Date04/16/2007
Last Update Date08/27/2014

Medicare PECOS Information:

Medicare PECOS PAC ID8224029871
Medicare Enrollment IDO20040721000250

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Medical Identifiers

Medical identifiers for Ridgewood Clinics Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023233749NPI-NPPES
09013996MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 12941 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ridgewood Clinics Pa acts as a billing entity for following providers:
Provider NameSusan F Snyder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073573176
PECOS PAC ID: 0941214860
Enrollment ID: I20060131000356

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Provider NameKrishan K. Gupta
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598769176
PECOS PAC ID: 7517958176
Enrollment ID: I20120201000804

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Provider NameClaire Tyler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902152937
PECOS PAC ID: 5799056032
Enrollment ID: I20170804002812

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Provider NameAdriane Wright Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811473481
PECOS PAC ID: 1557790490
Enrollment ID: I20200329000323

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Provider NameBrandy Alexandra Rutland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225628761
PECOS PAC ID: 1052728698
Enrollment ID: I20210329000694

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Provider NameRachael L Stout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871366476
PECOS PAC ID: 6002250537
Enrollment ID: I20240222003554

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› Verified 5 days ago

Counselor in Jackson, MS

Miracle Care Home Services Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 5120 Galaxie Dr, Suite-b, Jackson, MS 39206
Phone: 601-982-1909    Fax: 601-982-8177
Chandler & Associates
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1900 Dunbarton Dr Ste J, Jackson, MS 39216
Phone: 769-428-1681    Fax: 769-241-5091
Gifted Futures Ms
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6040 I-55 North Frontage Rd., Jackson, MS 39211
Phone: 929-466-1305    
1st Priority Healthcare Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2600 River Ridge Dr, Suite 102, Jackson, MS 39216
Phone: 252-315-5165    Fax: 888-376-1118
Guided Steps Healthcare
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Dunbarton Dr, Suite I, Jackson, MS 39216
Phone: 504-491-0774    Fax: 336-464-2227
Marion Counseling Services, Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 460 Briarwood Dr Ste 510, Jackson, MS 39206
Phone: 601-956-4816    Fax: 601-956-4816

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