Jonathan Van Buren Riddell, MD - Medicare Urology in Syracuse, NY

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Jonathan Van Buren Riddell, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Syracuse, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Adirondack Medical Center and his current practice location is 750 E Adams St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-6106.

Jonathan Van Buren Riddell is licensed to practice in New York (license number 270264) 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 1922391077.

Contact Information

Jonathan Van Buren Riddell, MD
750 E Adams St,
Syracuse, NY 13210-2342
(315) 464-6106
(315) 464-6107

Map and Direction




Physician's Profile

Full NameJonathan Van Buren Riddell
GenderMale
SpecialityUrology
Experience30 Years
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Van Buren Riddell graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1922391077
  • Provider Enumeration Date: 05/24/2011
  • Last Update Date: 07/19/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4789861204
  • Enrollment ID: I20110610000171

Medical Identifiers

Medical identifiers for Jonathan Van Buren Riddell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922391077NPI-NPPES
03340452MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 270264 (New York)Secondary
2088P0231XUrology - Pediatric Urology 270264 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adirondack Medical CenterSaranac lake, NYHospital
Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NYHospital
Canton-potsdam HospitalPotsdam, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adirondack Medical Center963808128476

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. Jonathan Van Buren Riddell allows following entities to bill medicare on his behalf.
Entity NameAdirondack Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245446533
PECOS PAC ID: 9638081284
Enrollment ID: O20031103000224
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameUnited Health Services Hospitals, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962463851
PECOS PAC ID: 5193610533
Enrollment ID: O20040216001017
Entity NameUpstate Urology, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003062043
PECOS PAC ID: 1254492952
Enrollment ID: O20081212000084

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. Jonathan Van Buren Riddell 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 AddressPractice Location Address
Jonathan Van Buren Riddell, MD
750 E Adams St,
Syracuse, NY 13210-2342

Ph: (315) 464-6106		Jonathan Van Buren Riddell, MD
750 E Adams St,
Syracuse, NY 13210-2342

Ph: (315) 464-6106

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.