Tara Riddle, PHD in Urbana, IL - Medicare Clinical Psychologist Provider

Tara Riddle, PHD is a medicare enrolled "Psychologist - Clinical" provider in Urbana, Illinois. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Carle Health Care Incorporated and her current practice location is 611 W Park St, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-6792.

Tara Riddle is licensed to practice in Michigan (license number 6301014898) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164866687.

Contact Information

	Tara Riddle, PHD
	611 W Park St, Urbana, IL 61801-2500
	(217) 383-6792
	(217) 383-6792

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Riddle
Gender	Female
Speciality	Clinical Psychologist
Experience	13 Years
Location	611 W Park St, Urbana, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Riddle graduated from medical school in 2011

NPI Data:

NPI Number: 1164866687
Provider Enumeration Date: 04/26/2013
Last Update Date: 12/10/2013

Medicare PECOS Information:

PECOS PAC ID: 5395971584
Enrollment ID: I20131118000903

Medical Identifiers

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

Identifier	Type	State	Issuer
1164866687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301014898 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Carle Foundation Hospital	Urbana, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	799

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. Tara Riddle allows following entities to bill medicare on her behalf.

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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. Tara 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
Tara Riddle, PHD 611 W Park St, Urbana, IL 61801-2500 Ph: (217) 383-6792	Tara Riddle, PHD 611 W Park St, Urbana, IL 61801-2500 Ph: (217) 383-6792

Reviews and Comments

Psychologist in Urbana, IL

Christopher Lawrence Menard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 404 W Green St, Urbana, IL 61801 Phone: 217-369-6805
Dr. James Francis Sipich, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 W Green St, Urbana, IL 61801 Phone: 217-367-2299
Dr. Mary Lydia Khuri, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 W. Green Street, Urbana, IL 61801 Phone: 217-328-2488
Dr. Pamela A Warren, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Psychiatry/psychology, Urbana, IL 61801 Phone: 217-383-3431
Amy Paige Cohen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 E Green St, Urbana, IL 61802 Phone: 217-265-6937
Dr. Marybeth Hallett, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 404 W Green St, Urbana, IL 61801 Phone: 217-649-3939

Tara Riddle, PHD - Medicare Psychologist in Urbana, IL