Tracy M Riordan, MD is a medicare enrolled "Internal Medicine" physician in Imperial, Missouri. She went to Saint Louis University School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Mercy Clinic East Communities and her current practice location is
1254 Main St, Imperial, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 741-3130.
Tracy M Riordan is licensed to practice in Missouri (license number 2002013047) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124094362.
Physician's Profile
| Full Name | Tracy M Riordan |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 26 Years |
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| Location | 1254 Main St, Imperial, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tracy M Riordan attended and graduated from Saint Louis University School Of Medicine in 2000
NPI Data:
- NPI Number: 1124094362
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 09/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 5698672509
- Enrollment ID: I20031218000167
Medical Identifiers
Medical identifiers for Tracy M Riordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124094362 | NPI | - | NPPES |
| 1124094362 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2002013047 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Clinic East Communities | 7214827922 | 535 |
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. Tracy M Riordan allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Hospitals East Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107 |
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| Entity Name | Mercy Clinic East Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006 |
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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. Tracy M Riordan 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 |
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Tracy M Riordan, MD
1254 Main Street,
Imperial, MO 63052
Ph: (636) 741-3130 | Tracy M Riordan, MD
1254 Main St,
Imperial, MO 63052-3861
Ph: (636) 741-3130 |
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