David J Riden, MD in Marietta, GA

David J Riden, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Marietta, Georgia. His current practice location is 3747 Roswell Rd Ste 201, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 578-2868.

David J Riden is licensed to practice in Georgia (license number 39916) 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 1871588277.

Contact Information

	David J Riden, MD
	3747 Roswell Rd Ste 201, Marietta, GA 30062
	(770) 578-2868
	Not Available

Map and Direction

Physician's Profile

Full Name	David J Riden
Gender	Male
Speciality	Urology - Pediatric Urology
Location	3747 Roswell Rd Ste 201, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871588277
Provider Enumeration Date: 09/13/2005
Last Update Date: 10/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2163319476
Enrollment ID: I20070330000114

Medical Identifiers

Medical identifiers for David J Riden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871588277	NPI	-	NPPES
3841062	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2088P0231X	Urology - Pediatric Urology	39916 (Georgia)	Primary
2088P0231X	Urology - Pediatric Urology	31240 (Tennessee)	Secondary

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. David J Riden allows following entities to bill medicare on his behalf.

Entity Name	Tennessee Pediatric Urology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568581387 PECOS PAC ID: 6800990847 Enrollment ID: O20070330000116

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. David J Riden 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
David J Riden, MD 805 Sandy Plains Road, Medical Staff Services, Marietta, GA 30066-6340 Ph: () -	David J Riden, MD 3747 Roswell Rd Ste 201, Marietta, GA 30062 Ph: (770) 578-2868

Reviews and Comments

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David J Riden, MD - Medicare Urology in Marietta, GA