Elijah Wade Riddle, MD in Wynnewood, PA - Medicare General Surgery

Elijah Wade Riddle, MD is a medicare enrolled "Surgery" physician in Wynnewood, Pennsylvania. He went to Washington University School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice University Physician Associates Of New Jersey Inc and his current practice location is 100 E Lancaster Ave, Suite 275 Lankenau Med Sci Bldg, Wynnewood, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 642-1908.

Elijah Wade Riddle is licensed to practice in Pennsylvania (license number MD454180) 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 1609136993.

Contact Information

	Elijah Wade Riddle, MD
	100 E Lancaster Ave, Suite 275 Lankenau Med Sci Bldg, Wynnewood, PA 19096-3450
	(610) 642-1908
	(610) 642-6808

Map and Direction

Physician's Profile

Full Name	Elijah Wade Riddle
Gender	Male
Speciality	General Surgery
Experience	13 Years
Location	100 E Lancaster Ave, Wynnewood, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elijah Wade Riddle attended and graduated from Washington University School Of Medicine in 2012

NPI Data:

NPI Number: 1609136993
Provider Enumeration Date: 05/21/2012
Last Update Date: 11/20/2025

Medicare PECOS Information:

PECOS PAC ID: 3577853324
Enrollment ID: I20230110000470

Medical Identifiers

Medical identifiers for Elijah Wade Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609136993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD454180 (Pennsylvania)	Primary
2086S0120X	Surgery - Pediatric Surgery	MD454180 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The University Hospital	Newark, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Physician Associates Of New Jersey Inc	9830003417	320

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. Elijah Wade Riddle allows following entities to bill medicare on his behalf.

Entity Name	University Physician Associates Of New Jersey Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639189236 PECOS PAC ID: 9830003417 Enrollment ID: O20040301000906

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. Elijah Wade 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 Address	Practice Location Address
Elijah Wade Riddle, MD 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: () -	Elijah Wade Riddle, MD 100 E Lancaster Ave, Suite 275 Lankenau Med Sci Bldg, Wynnewood, PA 19096-3450 Ph: (610) 642-1908

Reviews and Comments

Surgery Doctors in Wynnewood, PA

Dr. Robert D. Smink Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808
Arvind Sabesan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096 Phone: 610-642-1908
Dr. Thais Reif De Paula, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Mob South 422, Wynnewood, PA 19096 Phone: 484-476-1619 Fax: 484-476-3354
Charles Douglas Neff, Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1619
Pranjal Thosani, DO Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000
Dr. W Randall Russell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Suite 151 Lankenau Mob East, Wynnewood, PA 19096 Phone: 484-476-6492 Fax: 484-476-8147
Dr. Barry D Mann, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 275 Med Sci Bldg, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808

Elijah Wade Riddle, MD - Medicare General Surgery in Wynnewood, PA