Dr Mal S Riddell, DO | |
1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | |
(662) 226-6430 | |
(662) 226-0018 |
Full Name | Dr Mal S Riddell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 47 Years |
Location | 1300 Sunset Dr, Grenada, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083613210 | NPI | - | NPPES |
00018828 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 08590 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
---|---|
Dr Mal S Riddell, DO Po Box 1263, Grenada, MS 38902-1263 Ph: (662) 226-6430 | Dr Mal S Riddell, DO 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 Ph: (662) 226-6430 |
James K Stanford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr, Suite 101, Grenada, MS 38901 Phone: 662-227-1744 Fax: 662-226-1116 | |
Audrey Kathryn Bailey, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Lark Dr, Grenada, MS 38901 Phone: 166-280-9245 | |
Andrea Jemae Collins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 662-227-7008 | |
Micah Mckee, MS, ATC, LAT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 Geeslin Rd, Grenada, MS 38901 Phone: 601-513-1231 | |
Dr. Ralph Criss Armstrong Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Suite F, Grenada, MS 38901 Phone: 662-226-5747 Fax: 662-226-5622 | |
Dr. Kerry Todd Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Suite F, Grenada, MS 38901 Phone: 662-226-5747 Fax: 662-226-5622 |