Mr Ralph David Priddy, PA-C - Medicare Physician Assistant in St Augustine, FL

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Mr Ralph David Priddy, PA-C is a medicare enrolled "Physician Assistant" in St Augustine, Florida. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Island Doctors Intrastate Llc and his current practice location is 2305 State Road 207, St Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 827-8610.

Mr Ralph David Priddy is licensed to practice in Florida (license number PA9106486) 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 1497021059.

Contact Information

Mr Ralph David Priddy, PA-C
2305 State Road 207,
St Augustine, FL 32086-9329
(904) 827-8610
Not Available

Map and Direction




Provider's Profile

Full NameMr Ralph David Priddy
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location2305 State Road 207, St Augustine, Florida
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:
  • Mr Ralph David Priddy graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1497021059
  • Provider Enumeration Date: 03/28/2012
  • Last Update Date: 03/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4385860956
  • Enrollment ID: I20140717001717

Medical Identifiers

Medical identifiers for Mr Ralph David Priddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497021059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9106486 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Island Doctors Intrastate Llc539516118674

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. Mr Ralph David Priddy allows following entities to bill medicare on his behalf.
Entity NameRoy H Hinman MD PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649383845
PECOS PAC ID: 3173584174
Enrollment ID: O20041022000798
Entity NameFlorida Center for Dermatology PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073870341
PECOS PAC ID: 0244486017
Enrollment ID: O20120809000748
Entity NameIsland Doctors Intrastate LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568083889
PECOS PAC ID: 5395161186
Enrollment ID: O20200811001733

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. Mr Ralph David 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
Mr Ralph David Priddy, PA-C
3612 Citara Ct,
St Augustine, FL 32092-4779

Ph: (904) 814-6703		Mr Ralph David Priddy, PA-C
2305 State Road 207,
St Augustine, FL 32086-9329

Ph: (904) 827-8610

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.