Sarah Criddle, MD - Medicare Student in an Organized Health Care Education/Training Program in Providence, RI

Sarah Criddle, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-4030.

Sarah Criddle is licensed to practice in Rhode Island (license number LP05526) 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 1306422217.

Contact Information

Sarah Criddle, MD
593 Eddy St,
Providence, RI 02903
(401) 444-4030
Not Available



Physician's Profile

Full NameSarah Criddle
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306422217
  • Provider Enumeration Date: 03/22/2021
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507266285
  • Enrollment ID: I20210617001069

Medical Identifiers

Medical identifiers for Sarah Criddle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306422217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 125.078061 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program 125.078061 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program LP05526 (Rhode Island)Primary

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. Sarah Criddle 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
Sarah Criddle, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: () -
Sarah Criddle, MD
593 Eddy St,
Providence, RI 02903

Ph: (401) 444-4030

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