Dr Jonathan Robert Reidel, MD in Bridgeport, CT

Dr Jonathan Robert Reidel, MD is a medicare enrolled "Pediatrics" physician in Bridgeport, Connecticut. His current practice location is 64 Black Rock Avenue, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 579-5000.

Dr Jonathan Robert Reidel is licensed to practice in Connecticut (license number 044890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184793481.

Contact Information

	Dr Jonathan Robert Reidel, MD
	64 Black Rock Avenue, Bridgeport, CT 06605-1200
	(203) 579-5000
	(203) 579-5113

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Robert Reidel
Gender	Male
Speciality	Pediatrics
Location	64 Black Rock Avenue, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184793481
Provider Enumeration Date: 11/08/2006
Last Update Date: 02/02/2026

Medicare PECOS Information:

PECOS PAC ID: 1456350610
Enrollment ID: I20061215000487

Medical Identifiers

Medical identifiers for Dr Jonathan Robert Reidel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184793481	NPI	-	NPPES
369523	Other	CT	WELLCARE MEDICARE
010044890CT01	Other	CT	BCBS & BCFP PROV ID
001448902	Medicaid	CT
7615732	Other	CT	CIGNA
1255448155	Other	CT	GHMC GROUP NPI ID
227660	Other	CT	CONNECTICARE
2V8732	Other	CT	HEALTH NET
004234788	Medicaid	CT
P3735238	Other	CT	OXFORD
004195930	Medicaid	CT
1470175	Other	CT	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	044890 (Connecticut)	Primary

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 Jonathan Robert Reidel allows following entities to bill medicare on his behalf.

Entity Name	Starling Physicians, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467537290 PECOS PAC ID: 7517863749 Enrollment ID: O20031209000877

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 Jonathan Robert Reidel 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
Dr Jonathan Robert Reidel, MD 64 Black Rock Avenue, Bridgeport, CT 06605-1200 Ph: (203) 576-3885	Dr Jonathan Robert Reidel, MD 64 Black Rock Avenue, Bridgeport, CT 06605-1200 Ph: (203) 579-5000

Reviews and Comments

Pediatrics Doctors in Bridgeport, CT

Jane Jeehyun Kwon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3715 Main St, Bridgeport, CT 06606 Phone: 203-371-7111 Fax: 203-372-5636
Joanna Zolkowski-wynne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829
Dr. Steve Shah, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-330-6000
Dr. Dara Thomas Richards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 968 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6000 Fax: 203-339-7190
Tatiana Zinchuk, Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Dr. Andrea B Hagani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2600 Main St, Suite 215, Bridgeport, CT 06606 Phone: 203-452-8322 Fax: 203-452-2296
Dr. Benjamin H Tsang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-968-0673

Dr Jonathan Robert Reidel, MD - Medicare Pediatrics in Bridgeport, CT