Elijah Wade Riddle, MD in Lebanon, PA

Elijah Wade Riddle, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Lebanon, Pennsylvania. His current practice location is 735 Norman Dr Ste 3, Lebanon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 270-7908.

Elijah Wade Riddle is licensed to practice in Pennsylvania (license number MD454180) 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 1609136993.

Contact Information

	Elijah Wade Riddle, MD
	735 Norman Dr Ste 3, Lebanon, PA 17042-7559
	(717) 270-7908
	(717) 272-1734

Map and Direction

Physician's Profile

Full Name	Elijah Wade Riddle
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	735 Norman Dr Ste 3, Lebanon, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609136993
Provider Enumeration Date: 05/21/2012
Last Update Date: 09/19/2019

Medicare PECOS Information:

PECOS PAC ID: 3577853324
Enrollment ID: I20191009000483

Medical Identifiers

Medical identifiers for Elijah Wade Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609136993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MT201557 (Pennsylvania)	Secondary
2086S0120X	Surgery - Pediatric Surgery	MD454180 (Pennsylvania)	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. Elijah Wade Riddle allows following entities to bill medicare on his behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

Entity Name	Grand View Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1821286097 PECOS PAC ID: 8022001924 Enrollment ID: O20080522000278

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Elijah Wade 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
Elijah Wade Riddle, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 662-6156	Elijah Wade Riddle, MD 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 Ph: (717) 270-7908

Reviews and Comments

Surgery Doctors in Lebanon, PA

Dr. James W Keller, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 735 Norman Dr, Lebanon, PA 17042 Phone: 717-270-7908 Fax: 717-272-1734
Barbara A. Klatchko, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 402 S 12th St, Lebanon, PA 17042 Phone: 717-274-5200 Fax: 717-274-5440
Dr. Justin Arthur Snyder, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 735 Norman Dr, Suite 3, Lebanon, PA 17042 Phone: 717-270-7908 Fax: 717-272-1734
Dr. Charles Dinerstein, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4th & Walnut Streets, 2nd Floor, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 270-270-3754
Hilde Jerius, MD Surgery Medicare: Medicare Enrolled Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754
Cindy Wu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 735 Norman Dr Ste 3, Lebanon, PA 17042 Phone: 717-270-7908 Fax: 717-272-1734
Dr. Bryan George Pilkington, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 735 Norman Dr, Lebanon, PA 17042 Phone: 717-270-7908 Fax: 717-272-1734

Elijah Wade Riddle, MD - Medicare Surgery in Lebanon, PA