Dr Andrew Jerome Riddle, DO - Medicare Hematology/oncology in Traverse, MI

Dr Andrew Jerome Riddle, DO is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Traverse, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Munson Medical Center and his current practice location is 217 S Madison Street, Traverse, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 392-8400.

Dr Andrew Jerome Riddle is licensed to practice in Michigan (license number 5101016771) 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 1215059670.

Contact Information

Dr Andrew Jerome Riddle, DO
217 S Madison Street,
Traverse, MI 49684
(231) 392-8400
(231) 935-7888



Physician's Profile

Full NameDr Andrew Jerome Riddle
GenderMale
SpecialityHematology/oncology
Experience18 Years
Location217 S Madison Street, Traverse, Michigan
Accepts Medicare AssignmentsYes. 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 Andrew Jerome Riddle attended and graduated from Michigan State University College Of Osteopathic Medicine in 2006
  NPI Data:
  • NPI Number: 1215059670
  • Provider Enumeration Date: 04/05/2007
  • Last Update Date: 12/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8527219286
  • Enrollment ID: I20121107000119

Medical Identifiers

Medical identifiers for Dr Andrew Jerome Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215059670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 5101016771 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Medical CenterTraverse city, MIHospital
Charlevoix Area HospitalCharlevoix, MIHospital
Kalkaska Memorial Health CenterKalkaska, MIHospital
Paul Oliver Memorial HospitalFrankfort, MIHospital
Munson Healthcare Cadillac HospitalCadillac, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Medical Center3072426287257

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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 Andrew Jerome Riddle allows following entities to bill medicare on his behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904

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Entity NameMunson Healthcare Charlevoix Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326124058
PECOS PAC ID: 4284528035
Enrollment ID: O20040211001170

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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 Andrew Jerome 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
Dr Andrew Jerome Riddle, DO
2513 Momentum Pl,
Chicago, IL 60689-5325

Ph: (231) 935-6080
Dr Andrew Jerome Riddle, DO
217 S Madison Street,
Traverse, MI 49684

Ph: (231) 392-8400

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Internal Medicine Doctors in Traverse, MI


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