Marisa Riddle, CRNA - Medicare Nurse Anesthetist, Certified Registered in Glendale, AZ

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Marisa Riddle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Glendale, Arizona. Her current practice location is 18701 N 67th Ave, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 561-1000.

Marisa Riddle is licensed to practice in Arizona (license number 278016) 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 1396203089.

Contact Information

Marisa Riddle, CRNA
18701 N 67th Ave,
Glendale, AZ 85308-7100
(623) 561-1000
Not Available

Map and Direction




Provider's Profile

Full NameMarisa Riddle
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location18701 N 67th Ave, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396203089
  • Provider Enumeration Date: 03/12/2019
  • Last Update Date: 04/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901280635
  • Enrollment ID: I20220830002878

Medical Identifiers

Medical identifiers for Marisa Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396203089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 278016 (Arizona)Primary
163W00000XRegistered Nurse RN181155 (Arizona)Secondary

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. Marisa Riddle allows following entities to bill medicare on her behalf.
Entity NameGreater Anesthesia Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525
Entity NameSummit Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821589144
PECOS PAC ID: 3971850892
Enrollment ID: O20180724002694

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. Marisa 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 AddressPractice Location Address
Marisa Riddle, CRNA
1514 W Berridge Ln,
Phoenix, AZ 85015-2057

Ph: (480) 209-3175		Marisa Riddle, CRNA
18701 N 67th Ave,
Glendale, AZ 85308-7100

Ph: (623) 561-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Glendale, AZ

Ms. Terren Courtney Wortham, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Juan N Aliaga, DNP, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Jason Scott Herndon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Brandi Norman,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 19555 N 59th Ave, Glendale, AZ 85308
Phone: 623-572-3200    
Gina S. Kozul,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18555 N 79th Ave Bldg C, Glendale, AZ 85308
Phone: 623-776-2500    
Camarae Mikaela Mather, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 602-653-3012    
Stephen Patrick Standish, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5901 W Behrend Dr Apt 1155, Glendale, AZ 85308
Phone: 206-372-7032    

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.