Dr Jonathan Michael Ridenour, PSYD in Tyler, TX - Medicare Clinical Psychologist Provider

Dr Jonathan Michael Ridenour, PSYD is a medicare enrolled "Psychologist" provider in Tyler, Texas. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 4801 Troup Hwy Ste 502, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 630-5788.

Dr Jonathan Michael Ridenour is licensed to practice in Texas (license number 34806) 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 1760703003.

Contact Information

	Dr Jonathan Michael Ridenour, PSYD
	4801 Troup Hwy Ste 502, Tyler, TX 75703-2357
	(903) 630-5788
	(903) 630-5885

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Michael Ridenour
Gender	Male
Speciality	Clinical Psychologist
Experience	14 Years
Location	4801 Troup Hwy Ste 502, Tyler, Texas
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:

Dr Jonathan Michael Ridenour graduated from medical school in 2011

NPI Data:

NPI Number: 1760703003
Provider Enumeration Date: 06/22/2010
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9234302985
Enrollment ID: I20111025000866

Medical Identifiers

Medical identifiers for Dr Jonathan Michael Ridenour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760703003	NPI	-	NPPES
34806	Other		TEXAS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	34806 (Texas)	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. Dr Jonathan Michael Ridenour allows following entities to bill medicare on his behalf.

Entity Name	Jonathan Ridenour Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699233403 PECOS PAC ID: 7517291685 Enrollment ID: O20190624000850

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. Dr Jonathan Michael 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
Dr Jonathan Michael Ridenour, PSYD 4801 Troup Hwy Ste 502, Tyler, TX 75703-2357 Ph: (903) 630-5788	Dr Jonathan Michael Ridenour, PSYD 4801 Troup Hwy Ste 502, Tyler, TX 75703-2357 Ph: (903) 630-5788

Reviews and Comments

Psychologist in Tyler, TX

Sherry Marasse, MA, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 12863 Old Noonday Rd, Tyler, TX 75703 Phone: 903-941-2780
Alisa Goodman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2323 W Front St, Tyler, TX 75702 Phone: 903-597-1351 Fax: 903-535-7386
Cassandra Jo Rasmussen, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200
Dr. Charles T Fries, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Paluxy Dr, Suite 440, Tyler, TX 75703 Phone: 903-526-5550 Fax: 903-526-5551
Dr. Stephen C Westmoreland, ED. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1810 Shiloh Rd, Suite 801, Tyler, TX 75703 Phone: 903-593-8395 Fax: 908-581-8679
Sandra Harper, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2010 Sybil Ln Ste 100, Tyler, TX 75703 Phone: 903-596-8118 Fax: 903-596-8125
Dr. Kiley Anne Schneider, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 902-877-8272

Dr Jonathan Michael Ridenour, PSYD - Medicare Psychologist in Tyler, TX