Ms Jessica L Ridgely, PA-C - Medicare Physician Assistant in Randallstown, MD

Ms Jessica L Ridgely, PA-C is a medicare enrolled "Physician Assistant" in Randallstown, Maryland. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carroll Health Group Llc and her current practice location is 5401 Old Court Rd, Randallstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 521-2200.

Ms Jessica L Ridgely is licensed to practice in Maryland (license number C0003611) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063691244.

Contact Information

Ms Jessica L Ridgely, PA-C
5401 Old Court Rd,
Randallstown, MD 21133-5103
(410) 521-2200
Not Available



Provider's Profile

Full NameMs Jessica L Ridgely
GenderFemale
SpecialityPhysician Assistant
Experience17 Years
Location5401 Old Court Rd, Randallstown, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Jessica L Ridgely graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1063691244
  • Provider Enumeration Date: 10/24/2007
  • Last Update Date: 10/24/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2365522059
  • Enrollment ID: I20080108000236

Medical Identifiers

Medical identifiers for Ms Jessica L Ridgely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063691244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C0003611 (Maryland)Primary
363AM0700XPhysician Assistant - Medical C0003611 (Maryland)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carroll Hospital CenterWestminster, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carroll Health Group Llc387062702972

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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. Ms Jessica L Ridgely 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 AddressPractice Location Address
Ms Jessica L Ridgely, PA-C
5401 Old Court Rd, Attn: Credentialing,
Randallstown, MD 21133-5103

Ph: (410) 601-5524
Ms Jessica L Ridgely, PA-C
5401 Old Court Rd,
Randallstown, MD 21133-5103

Ph: (410) 521-2200

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Physician Assistant Nurses in Randallstown, MD

Mr. Mario Klimentov Dimitrov, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133
Phone: 410-521-2200    
Ms. Shannon Lynn Watts, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Scott W Stromberg, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Haramrit Rajan, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Ms. Mindi N Valuckas, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Bethany Kate Heaton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    

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