Mr David A Priddy, PHD in Galesburg, IL - Medicare Clinical Psychologist Provider

Mr David A Priddy, PHD is a medicare enrolled "Psychologist - Rehabilitation" provider in Galesburg, Illinois. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Crossroads Counseling And Life Coaching Llc and his current practice location is 575 N Kellogg St Ste 4, Galesburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 343-0800.

Mr David A Priddy is licensed to practice in Illinois (license number 071-003839) 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 1669416749.

Contact Information

	Mr David A Priddy, PHD
	575 N Kellogg St Ste 4, Galesburg, IL 61401-7609
	(309) 343-0800
	(309) 343-0802

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David A Priddy
Gender	Male
Speciality	Clinical Psychologist
Experience	39 Years
Location	575 N Kellogg St Ste 4, Galesburg, Illinois
Accepts Medicare Assignments	Yes. 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 David A Priddy graduated from medical school in 1985

NPI Data:

NPI Number: 1669416749
Provider Enumeration Date: 06/16/2006
Last Update Date: 08/18/2020

Medicare PECOS Information:

PECOS PAC ID: 8123027133
Enrollment ID: I20061220000069

Medical Identifiers

Medical identifiers for Mr David A Priddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669416749	NPI	-	NPPES
013154	Other	IL	HEALTH ALLIANCE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TR0400X	Psychologist - Rehabilitation	071-003839 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crossroads Counseling And Life Coaching Llc	9436473162	3

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 David A Priddy allows following entities to bill medicare on his behalf.

Entity Name	Institute Of Physical Medicine And Rehabilitation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164464491 PECOS PAC ID: 1759303944 Enrollment ID: O20061025000690

Entity Name	Crossroads Counseling And Life Coaching Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255593315 PECOS PAC ID: 9436473162 Enrollment ID: O20150128001192

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 David A 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 Address	Practice Location Address
Mr David A Priddy, PHD 575 N Kellogg St Ste 4, Galesburg, IL 61401-7609 Ph: (309) 343-0800	Mr David A Priddy, PHD 575 N Kellogg St Ste 4, Galesburg, IL 61401-7609 Ph: (309) 343-0800

Reviews and Comments

Psychologist in Galesburg, IL

Dr. Hershel W Statham, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 E Main St, Suite 414, Galesburg, IL 61401 Phone: 309-343-8315 Fax: 309-343-5164
Virginia G Kasser, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 575 N Kellogg, Galesburg, IL 61401 Phone: 309-343-0800
Carrie Edwards, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 575 N Kellogg St Ste 4, Galesburg, IL 61401 Phone: 309-343-0800
Dr. Kristin Larson, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 940 W Fremont St, Galesburg, IL 61401 Phone: 309-368-9850
James Eugene Tiller, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Windish Drive, Galesburg, IL 61401 Phone: 309-342-6852 Fax: 309-342-6535
Sara M O'brien, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 575 N Kellogg St, Suite 4, Galesburg, IL 61401 Phone: 309-343-0800 Fax: 309-343-0802

Mr David A Priddy, PHD - Medicare Psychologist in Galesburg, IL