Gregory Ridenour, in Fort Wayne, IN - Medicare Nurse Practitioner

Gregory Ridenour, is a medicare enrolled "Nurse Practitioner - Neonatal" in Fort Wayne, Indiana. His current practice location is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 435-7001.

Gregory Ridenour is licensed to practice in Indiana (license number 71007790A) 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 1447708979.

Contact Information

	Gregory Ridenour,
	7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
	(260) 435-7001
	Not Available

Map and Direction

Provider's Profile

Full Name	Gregory Ridenour
Gender	Male
Speciality	Nurse Practitioner - Neonatal
Location	7950 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447708979
Provider Enumeration Date: 09/13/2016
Last Update Date: 03/28/2022

Medicare PECOS Information:

PECOS PAC ID: 4688935331
Enrollment ID: I20180221001148

Medical Identifiers

Medical identifiers for Gregory Ridenour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447708979	NPI	-	NPPES
0265386	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28194228A (Indiana)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	RN.429014 (Ohio)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	71007790A (Indiana)	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. Gregory Ridenour allows following entities to bill medicare on his behalf.

Entity Name	Lutheran Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705

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. Gregory Ridenour 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
Gregory Ridenour, 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3516	Gregory Ridenour, 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 435-7001

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Gregory Ridenour, - Medicare Nurse Practitioner in Fort Wayne, IN