Ricky L Kidman, PA-C - Medicare Physician Assistant in Aynor, SC

Ricky L Kidman, PA-C is a medicare enrolled "Physician Assistant - Medical" in Aynor, South Carolina. He went to University Of Nebraska College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Conway Hospital Inc, Conway Hospital Community Services and 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.

Contact Information

Ricky L Kidman, PA-C
51 11th Avenue,
Aynor, SC 29511-3249
(843) 358-3700
(843) 358-3707



Provider's Profile

Full NameRicky L Kidman
GenderMale
SpecialityPhysician Assistant
Experience30 Years
Location51 11th Avenue, Aynor, South Carolina
Accepts Medicare AssignmentsYes. 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 University Of Nebraska College Of Medicine in 1994
  NPI Data:
  • NPI Number: 1962466532
  • Provider Enumeration Date: 04/12/2006
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032117122
  • Enrollment ID: I20061128000420

Medical Identifiers

Medical identifiers for Ricky L Kidman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962466532NPI-NPPES
1140PAMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 1094 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Conway Medical CenterConway, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Conway Hospital Inc711383960698
Conway Hospital Community Services98300877746

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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. 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 AddressPractice 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

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Physician Assistant Nurses in Aynor, SC

Fritz F Frye, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1213 Elm St, Aynor, SC 29511
Phone: 843-358-5806    Fax: 843-358-9205

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