Kenneth Riddle Iii, in Canonsburg, PA - Medicare Counselor Provider

Kenneth Riddle Iii, is a medicare enrolled "Counselor - Professional" provider in Canonsburg, Pennsylvania. His current practice location is 135 Technology Dr Ste 312, Canonsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 413-4306.

Kenneth Riddle Iii is licensed to practice in Pennsylvania (license number PC007823) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962074203.

Contact Information

	Kenneth Riddle Iii,
	135 Technology Dr Ste 312, Canonsburg, PA 15317-9549
	(724) 413-4306
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Riddle Iii
Gender	Male
Speciality	Counselor - Professional
Location	135 Technology Dr Ste 312, Canonsburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962074203
Provider Enumeration Date: 07/15/2021
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9739526518
Enrollment ID: I20240328002633

Medical Identifiers

Medical identifiers for Kenneth Riddle Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962074203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC007823 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Riddle Iii allows following entities to bill medicare on his behalf.

Entity Name	Mls Mindful Therapy Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790307130 PECOS PAC ID: 2961823703 Enrollment ID: O20200602002162

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. Kenneth Riddle Iii 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 Address	Practice Location Address
Kenneth Riddle Iii, 135 Technology Dr Ste 312, Canonsburg, PA 15317-9549 Ph: (724) 413-4306	Kenneth Riddle Iii, 135 Technology Dr Ste 312, Canonsburg, PA 15317-9549 Ph: (724) 413-4306

Reviews and Comments

Counselor in Canonsburg, PA

Erin Harper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Ashwood Dr Ste 1201, Canonsburg, PA 15317 Phone: 724-884-0466 Fax: 724-649-0039
Christin Marie Julo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1200 Ashwood Dr Ste 1201, Canonsburg, PA 15317 Phone: 724-884-0466
Aleta Rowe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4050 Washington Rd, Canonsburg, PA 15317 Phone: 412-728-0873
Ms. Carol A Miller-weiner, M.S.W., L.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 E Pike St, Suite Lla, Canonsburg, PA 15317 Phone: 724-873-1220
Kindall Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Ansys Dr., Ste 102, Canonsburg, PA 15317 Phone: 412-737-0990 Fax: 412-533-2696
Mrs. Jennifer Kita, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1200 Ashwood Dr, Canonsburg, PA 15317 Phone: 724-884-0466
Mrs. Eva Jeanne Kramer, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 135 Technology Dr, Canonsburg, PA 15317 Phone: 412-848-0573

Kenneth Riddle Iii, - Medicare Counselor in Canonsburg, PA