Dr Andrew Jerome Riddle, DO is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Traverse, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Munson Medical Center and his current practice location is
217 S Madison Street, Traverse, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 392-8400.
Dr Andrew Jerome Riddle is licensed to practice in Michigan (license number 5101016771) 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 1215059670.
Physician's Profile
Full Name | Dr Andrew Jerome Riddle |
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Gender | Male |
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Speciality | Hematology/oncology |
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Experience | 18 Years |
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Location | 217 S Madison Street, Traverse, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Andrew Jerome Riddle attended and graduated from Michigan State University College Of Osteopathic Medicine in 2006
NPI Data:
- NPI Number: 1215059670
- Provider Enumeration Date: 04/05/2007
- Last Update Date: 12/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527219286
- Enrollment ID: I20121107000119
Medical Identifiers
Medical identifiers for Dr Andrew Jerome Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215059670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0003X | Internal Medicine - Hematology & Oncology | 5101016771 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Munson Medical Center | 3072426287 | 262 |
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 Andrew Jerome Riddle allows following entities to bill medicare on his behalf.
Entity Name | Munson Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
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Entity Name | Munson Healthcare Charlevoix Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326124058 PECOS PAC ID: 4284528035 Enrollment ID: O20040211001170 |
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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 Andrew Jerome 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 Andrew Jerome Riddle, DO 2513 Momentum Pl, Chicago, IL 60689-5325 Ph: (231) 935-6080 | Dr Andrew Jerome Riddle, DO 217 S Madison Street, Traverse, MI 49684 Ph: (231) 392-8400 |
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