Dr Bruce Clayton Riddle, DDS is a medicare enrolled "Dentist" provider in Bryson City, North Carolina. His current practice location is
150 Veterans Blvd, Bryson City, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 488-2211.
Dr Bruce Clayton Riddle is licensed to practice in North Carolina (license number 6719) 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 1306902382.
Healthcare Provider's Profile
| Full Name | Dr Bruce Clayton Riddle |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 150 Veterans Blvd, Bryson City, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306902382
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527419159
- Enrollment ID: I20240109000890
Medical Identifiers
Medical identifiers for Dr Bruce Clayton Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306902382 | NPI | - | NPPES |
| 8990031 | Medicaid | NC | |
| 90031 | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 6719 (North Carolina) | 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. Dr Bruce Clayton Riddle allows following entities to bill medicare on his behalf.
| Entity Name | East Carolina University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400 |
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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. Dr Bruce Clayton Riddle 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 |
|---|
Dr Bruce Clayton Riddle, DDS
Po Box 1129, 150 Veterans Blvd,
Bryson City, NC 28713
Ph: (828) 488-2211 | Dr Bruce Clayton Riddle, DDS
150 Veterans Blvd,
Bryson City, NC 28713
Ph: (828) 488-2211 |
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