Dr Mal S Riddell, DO - Medicare Family Practice in Grenada, MS

Dr Mal S Riddell, DO is a medicare enrolled "Family Medicine" physician in Grenada, Mississippi. He went to Kansas City College Of Medicine And Surgery and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 1300 Sunset Dr, Suite B, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 226-6430.

Dr Mal S Riddell is licensed to practice in Mississippi (license number 08590) 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 1083613210.

Contact Information

Dr Mal S Riddell, DO
1300 Sunset Dr, Suite B,
Grenada, MS 38901-4086
(662) 226-6430
(662) 226-0018



Physician's Profile

Full NameDr Mal S Riddell
GenderMale
SpecialityFamily Practice
Experience47 Years
Location1300 Sunset Dr, Grenada, Mississippi
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 Mal S Riddell attended and graduated from Kansas City College Of Medicine And Surgery in 1977
  NPI Data:
  • NPI Number: 1083613210
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 01/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2668449497
  • Enrollment ID: I20040913000324

Medical Identifiers

Medical identifiers for Dr Mal S Riddell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083613210NPI-NPPES
00018828MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 08590 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Medical Center- GrenadaGrenada, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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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 Mal S Riddell allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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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 Mal S Riddell 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 Mal S Riddell, DO
Po Box 1263,
Grenada, MS 38902-1263

Ph: (662) 226-6430
Dr Mal S Riddell, DO
1300 Sunset Dr, Suite B,
Grenada, MS 38901-4086

Ph: (662) 226-6430

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Family Medicine Doctors in Grenada, MS

James K Stanford, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1117 Sunset Dr, Suite 101, Grenada, MS 38901
Phone: 662-227-1744    Fax: 662-226-1116
Audrey Kathryn Bailey,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Lark Dr, Grenada, MS 38901
Phone: 166-280-9245    
Andrea Jemae Collins, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 960 Avent Dr, Grenada, MS 38901
Phone: 662-227-7008    
Micah Mckee, MS, ATC, LAT
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 416 Geeslin Rd, Grenada, MS 38901
Phone: 601-513-1231    
Dr. Ralph Criss Armstrong Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Dr, Suite F, Grenada, MS 38901
Phone: 662-226-5747    Fax: 662-226-5622
Dr. Kerry Todd Lee, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Dr, Suite F, Grenada, MS 38901
Phone: 662-226-5747    Fax: 662-226-5622

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