Matthew Glen Pridgeon, MD - Medicare Pediatrics in Grand Rapids, MI

Matthew Glen Pridgeon, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne, Mc #13, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-0075.

Matthew Glen Pridgeon is licensed to practice in Michigan (license number 4301096898) 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 1255642732.

Contact Information

Matthew Glen Pridgeon, MD
100 Michigan St Ne, Mc #13,
Grand Rapids, MI 49503-2560
(616) 267-0075
Not Available

Map and Direction




Physician's Profile

Full NameMatthew Glen Pridgeon
GenderMale
SpecialityPediatrics
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255642732
  • Provider Enumeration Date: 06/29/2010
  • Last Update Date: 02/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224263108
  • Enrollment ID: I20131031000083

Medical Identifiers

Medical identifiers for Matthew Glen Pridgeon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255642732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301096898 (Michigan)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. Matthew Glen Pridgeon allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameSpectrum Health Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558407189
PECOS PAC ID: 8921904764
Enrollment ID: O20040120000997

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. Matthew Glen Pridgeon 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
Matthew Glen Pridgeon, MD
100 Michigan St Ne, Mc #13,
Grand Rapids, MI 49503-2560

Ph: (616) 267-0075
Matthew Glen Pridgeon, MD
100 Michigan St Ne, Mc #13,
Grand Rapids, MI 49503-2560

Ph: (616) 267-0075

Reviews and Comments


Pediatrics Doctors in Grand Rapids, MI

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Phone: 616-949-4465    Fax: 616-949-6191

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.

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