Matthew Glen Pridgeon, MD in Grand Rapids, MI

Matthew Glen Pridgeon, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne, Mc #13, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-0075.

Matthew Glen Pridgeon is licensed to practice in Michigan (license number 4301096898) 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 1255642732.

Contact Information

	Matthew Glen Pridgeon, MD
	100 Michigan St Ne, Mc #13, Grand Rapids, MI 49503-2560
	(616) 267-0075
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew Glen Pridgeon
Gender	Male
Speciality	Pediatrics
Location	100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255642732
Provider Enumeration Date: 06/29/2010
Last Update Date: 02/19/2021

Medicare PECOS Information:

PECOS PAC ID: 8224263108
Enrollment ID: I20131031000083

Medical Identifiers

Medical identifiers for Matthew Glen Pridgeon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255642732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301096898 (Michigan)	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. Matthew Glen Pridgeon allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

Entity Name	Spectrum Health Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997

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. Matthew Glen Pridgeon 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
Matthew Glen Pridgeon, MD 100 Michigan St Ne, Mc #13, Grand Rapids, MI 49503-2560 Ph: (616) 267-0075	Matthew Glen Pridgeon, MD 100 Michigan St Ne, Mc #13, Grand Rapids, MI 49503-2560 Ph: (616) 267-0075

Reviews and Comments

Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191

Matthew Glen Pridgeon, MD - Medicare Pediatrics in Grand Rapids, MI