Katherine Riddle, AGACNP-BC in Southgate, MI - Medicare Nurse Practitioner

Katherine Riddle, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Southgate, Michigan. Her current practice location is 15750 Northline Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 357-0505.

Katherine Riddle is licensed to practice in Michigan (license number 4704318916) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336922244.

Contact Information

	Katherine Riddle, AGACNP-BC
	15750 Northline Rd, Southgate, MI 48195-2378
	(734) 357-0505
	(734) 357-0506

Map and Direction

Provider's Profile

Full Name	Katherine Riddle
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	15750 Northline Rd, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336922244
Provider Enumeration Date: 08/15/2023
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1456705334
Enrollment ID: I20230926002887

Medical Identifiers

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

Identifier	Type	State	Issuer
1336922244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704318916 (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. Katherine Riddle allows following entities to bill medicare on her behalf.

Entity Name	W.a. Foote Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395

Entity Name	Fadi Delly, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992170187 PECOS PAC ID: 1052616273 Enrollment ID: O20160226000264

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. Katherine 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
Katherine Riddle, AGACNP-BC 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-4800	Katherine Riddle, AGACNP-BC 15750 Northline Rd, Southgate, MI 48195-2378 Ph: (734) 357-0505

Reviews and Comments

Nurse Practitioner Nurses in Southgate, MI

Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15150 Fort St, Southgate, MI 48195 Phone: 734-282-4800 Fax: 734-282-9302
Mrs. Dana Lara Wolfe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16525 Fort St, Southgate, MI 48195 Phone: 734-250-9529
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156
Michelle Lorraine Pardee, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-287-2076 Fax: 734-287-2731
Marie Elizabeth Manteuffel, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 Fax: 734-250-9072
Kaitlin Dughlas, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616
Mrs. Deborah Jane Collier-barstad, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15255 Northline Rd, Southgate, MI 48195 Phone: 734-285-3090 Fax: 734-285-3095

Katherine Riddle, AGACNP-BC - Medicare Nurse Practitioner in Southgate, MI