| Chad Riddle, CRNA | |
|
4034 Saint Ives Ct, Louisville, KY 40207-3814 | |
| (502) 640-8349 | |
| (502) 749-9202 |
| Full Name | Chad Riddle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 4034 Saint Ives Ct, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023100831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28279632A (Indiana) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1092142 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Floyd | New albany, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Indiana Llc | 1153576905 | 134 |
| Sweet Dreams Anesthesia Inc | 0042477705 | 92 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Commonwealth Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20150504001876 |
| Entity Name | Sda Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20210819003335 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Riddle, CRNA Po Box 6899, Louisville, KY 40206-0899 Ph: (502) 640-8349 | Chad Riddle, CRNA 4034 Saint Ives Ct, Louisville, KY 40207-3814 Ph: (502) 640-8349 |
Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001 | |
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000 | |
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 | |
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 | |
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056 | |
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 |