Todd Ridenour, MD is a medicare enrolled "Neurological Surgery" physician in Davenport, Iowa. His current practice location is
1230 E Rusholme St Ste 303, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at
(563) 383-2763.
Todd Ridenour is licensed to practice in Iowa (license number 27062) 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 1306837075.
Physician's Profile
| Full Name | Todd Ridenour |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 1230 E Rusholme St Ste 303, Davenport, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306837075
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 08/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688720022
- Enrollment ID: I20090925000473
Medical Identifiers
Medical identifiers for Todd Ridenour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306837075 | NPI | - | NPPES |
| 0088971 | Medicaid | IA | |
| 08196 | Other | IA | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207T00000X | Neurological Surgery | 27062 (Iowa) | 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. Todd Ridenour allows following entities to bill medicare on his behalf.
| Entity Name | Genesis Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
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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. Todd Ridenour 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 |
Todd Ridenour, MD 1230 E Rusholme St Ste 303, Davenport, IA 52803-2400 Ph: (563) 383-2763 | Todd Ridenour, MD 1230 E Rusholme St Ste 303, Davenport, IA 52803-2400 Ph: (563) 383-2763 |
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