Dr Travis John Riddell, MD in Jackson, WY

Dr Travis John Riddell, MD is a Pediatrics physician based in Jackson, Wyoming. Dr Travis John Riddell is licensed to practice in Wyoming (license number 8169A) and his current practice location is 557 E. Broadway, Jackson, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 733-4627.

NPI number for Dr Travis John Riddell is 1720255128 and his current mailing address is Po Box 1029, Jackson, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720255128.

Contact Information

	Dr Travis John Riddell, MD
	557 E. Broadway, Jackson, WY 83001
	(307) 733-4627
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Travis John Riddell
Gender	Male
Speciality	Pediatrics
Location	557 E. Broadway, Jackson, Wyoming
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1720255128
Provider Enumeration Date: 05/14/2008
Last Update Date: 07/02/2009

Medical Identifiers

Medical identifiers for Dr Travis John Riddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720255128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	229430 (Massachusetts)	Secondary
208000000X	Pediatrics	8169A (Wyoming)	Primary
208000000X	Pediatrics	M-10596 (Idaho)	Secondary

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 Travis John Riddell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Travis John Riddell, MD Po Box 1029, Jackson, WY 83001-1029 Ph: (307) 733-4627	Dr Travis John Riddell, MD 557 E. Broadway, Jackson, WY 83001 Ph: (307) 733-4627

Reviews and Comments

Pediatrics Doctors in Jackson, WY

Ms. Elizabeth Wilson Ridgway, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 557 East Broadway, Jackson, WY 83001 Phone: 307-733-4627 Fax: 307-733-5184
Holly Gail Payne, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 E. Broadway, Suite 211, Jackson, WY 83001 Phone: 307-733-8070 Fax: 307-733-8077
Dr. James Russell Little, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 557 East Broadway, Jackson, WY 83001 Phone: 307-733-4627 Fax: 307-733-5184
Karin L Klee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 E. Broadway, Suite 216, Jackson, WY 83001 Phone: 307-734-0242 Fax: 307-734-2610
Dr. Keri A Wheeler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 557 E Broadway, Jackson, WY 83001 Phone: 307-733-4627
Thomas J Pockat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 202, Jackson, WY 83001 Phone: 307-733-6520 Fax: 307-733-3216

Dr Travis John Riddell, MD - Pediatrics in Jackson, WY