Staci W Riddling, PT in Macclenny, FL - Medicare Physical Therapist Provider

Staci W Riddling, PT is a medicare enrolled "Physical Therapist" provider in Macclenny, Florida. Her current practice location is 534 S 5th St # A, Macclenny, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 259-1649.

Staci W Riddling is licensed to practice in Florida (license number PT21373) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881688588.

Contact Information

	Staci W Riddling, PT
	534 S 5th St # A, Macclenny, FL 32063
	(904) 259-1649
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Staci W Riddling
Gender	Female
Speciality	Physical Therapist
Location	534 S 5th St # A, Macclenny, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881688588
Provider Enumeration Date: 09/08/2005
Last Update Date: 05/31/2018

Medicare PECOS Information:

PECOS PAC ID: 7416934450
Enrollment ID: I20040707000684

Medical Identifiers

Medical identifiers for Staci W Riddling such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881688588	NPI	-	NPPES
889518000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT21373 (Florida)	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. Staci W Riddling allows following entities to bill medicare on her behalf.

Provider Name	John Goetze Physical Therapy, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1942294640 PECOS PAC ID: 8123005147 Enrollment ID: O20040707000529

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. Staci W Riddling 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
Staci W Riddling, PT Po Box 8847, Fleming Island, FL 32006-0019 Ph: () -	Staci W Riddling, PT 534 S 5th St # A, Macclenny, FL 32063 Ph: (904) 259-1649

Reviews and Comments

Physical Therapist in Macclenny, FL

Kallie Rae Gibson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 534 S 5th St, Macclenny, FL 32063 Phone: 904-259-1649
Ashley Nichelle Canaday, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 755 S 5th St, Macclenny, FL 32063 Phone: 904-259-4873
John Goetze Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 W Macclenny Ave, Macclenny, FL 32063 Phone: 904-421-2119
Physical Therapy And Rehabiitation Clinic Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 S 5th St, Macclenny, FL 32063 Phone: 904-259-8343 Fax: 904-272-8814
Victoria Christine Pittman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 534 S 5th St Ste A, Macclenny, FL 32063 Phone: 904-259-1649
Steve Logan Kish, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 534 S 5th St Ste A, Macclenny, FL 32063 Phone: 904-259-1649

Staci W Riddling, PT - Medicare Physical Therapist in Macclenny, FL