Dr Eric Michael Pridgen, MD - Medicare Orthopedic Surgery in Lehighton, PA

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Dr Eric Michael Pridgen, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Lehighton, Pennsylvania. He went to Stanford University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice St Lukes Physician Group Inc, Gslpg, Inc and his current practice location is 575 S 9th St Ste 5, Lehighton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 526-1735.

Dr Eric Michael Pridgen is licensed to practice in Pennsylvania (license number MD481958) 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 1174051254.

Contact Information

Dr Eric Michael Pridgen, MD
575 S 9th St Ste 5,
Lehighton, PA 18235-2517
(484) 526-1735
Not Available

Map and Direction




Physician's Profile

Full NameDr Eric Michael Pridgen
GenderMale
SpecialityOrthopedic Surgery
Experience8 Years
Location575 S 9th St Ste 5, Lehighton, Pennsylvania
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 Eric Michael Pridgen attended and graduated from Stanford University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1174051254
  • Provider Enumeration Date: 06/01/2017
  • Last Update Date: 08/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486036548
  • Enrollment ID: I20231010000092

Medical Identifiers

Medical identifiers for Dr Eric Michael Pridgen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174051254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine MD481958 (Pennsylvania)Primary
207X00000XOrthopaedic Surgery MD481958 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Miners Memorial HospitalCoaldale, PAHospital
St Luke's Hospital - Monroe CampusStroudsburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Physician Group Inc67097983331858
Gslpg, Inc7810226875201

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 Eric Michael Pridgen allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

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 Eric Michael Pridgen 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 Eric Michael Pridgen, MD
575 S 9th St Ste 5,
Lehighton, PA 18235-2517

Ph: (484) 526-1735		Dr Eric Michael Pridgen, MD
575 S 9th St Ste 5,
Lehighton, PA 18235-2517

Ph: (484) 526-1735

Reviews and Comments


Orthopaedic Surgery Doctors in Lehighton, PA

Daniel E. Muser, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 246 N 6th St, Lehighton, PA 18235
Phone: 610-377-2224    Fax: 610-377-6484
Dr. Jon David Hernandez, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2226 Blakeslee Boulevard Dr E Ste 200, Lehighton, PA 18235
Phone: 610-408-8900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.