Philip Jabee Riddle Jr, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Providence, Rhode Island. He went to University Of South Carolina School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is
164 Summit Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 793-2500.
Philip Jabee Riddle Jr is licensed to practice in * (Not Available) (license number ) 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 1598324337.
Physician's Profile
Full Name | Philip Jabee Riddle Jr |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 5 Years |
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Location | 164 Summit Ave, Providence, Rhode Island |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Philip Jabee Riddle Jr attended and graduated from University Of South Carolina School Of Medicine in 2019
NPI Data:
- NPI Number: 1598324337
- Provider Enumeration Date: 06/06/2019
- Last Update Date: 07/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830421825
- Enrollment ID: I20220516002117
Medical Identifiers
Medical identifiers for Philip Jabee Riddle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598324337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 82730 (South Carolina) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | LP06227 (Rhode Island) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Prisma Health Medical Group-midlands | 5991099707 | 881 |
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. Philip Jabee Riddle Jr allows following entities to bill medicare on his behalf.
Entity Name | Prisma Health Medical Group-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
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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. Philip Jabee Riddle Jr 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 |
Philip Jabee Riddle Jr, MD 164 Summit Ave Ste 221, Providence, RI 02906-2853 Ph: () - | Philip Jabee Riddle Jr, MD 164 Summit Ave, Providence, RI 02906-2853 Ph: (401) 793-2500 |
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