Jerry Priddy, PA-C - Medicare Physician Assistant in Springfield, IL

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Jerry Priddy, PA-C is a medicare enrolled "Physician Assistant" in Springfield, Illinois. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Siu Physicians And Surgeons Inc and his current practice location is 619 E Mason St Ste 5, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Jerry Priddy is licensed to practice in Illinois (license number 085006117) 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 1003351115.

Contact Information

Jerry Priddy, PA-C
619 E Mason St Ste 5,
Springfield, IL 62701-1080
(217) 545-8000
(217) 545-2552

Map and Direction




Provider's Profile

Full NameJerry Priddy
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location619 E Mason St Ste 5, Springfield, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerry Priddy graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1003351115
  • Provider Enumeration Date: 12/28/2016
  • Last Update Date: 12/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779869250
  • Enrollment ID: I20170418001025

Medical Identifiers

Medical identifiers for Jerry Priddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003351115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 085006117 (Illinois)Secondary
363A00000XPhysician Assistant 085006117 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
St Johns HospitalSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Siu Physicians And Surgeons Inc2365352820316

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. Jerry Priddy allows following entities to bill medicare on his behalf.
Entity NameSIU Physicians & Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769
Entity NameSpringfield Clinic, LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameHSHS Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275

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. Jerry Priddy 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
Jerry Priddy, PA-C
Po Box 19639,
Springfield, IL 62794-9639

Ph: (217) 545-8000		Jerry Priddy, PA-C
619 E Mason St Ste 5,
Springfield, IL 62701-1080

Ph: (217) 545-8000

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.