Miranda Mae Riddle, MS, CCC-SLP in Macomb, IL - Medicare Speech-Language Pathologist Provider

Miranda Mae Riddle, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Macomb, Illinois. Her current practice location is 12505 N 1500th Rd, Macomb, Illinois. You can reach out to her office (for appointments etc.) via phone at (325) 212-3239.

Miranda Mae Riddle is licensed to practice in Illinois (license number 146.016080) 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 1407524168.

Contact Information

	Miranda Mae Riddle, MS, CCC-SLP
	12505 N 1500th Rd, Macomb, IL 61455-8425
	(325) 212-3239
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miranda Mae Riddle
Gender	Female
Speciality	Speech-language Pathologist
Location	12505 N 1500th Rd, Macomb, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407524168
Provider Enumeration Date: 08/30/2021
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 1355708926
Enrollment ID: I20230613002649

Medical Identifiers

Medical identifiers for Miranda Mae Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407524168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	146016080 (Illinois)	Secondary
235Z00000X	Speech-language Pathologist	114598 (Texas)	Secondary
235Z00000X	Speech-language Pathologist	146.016080 (Illinois)	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. Miranda Mae Riddle allows following entities to bill medicare on her behalf.

Provider Name	Trinity Speech Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538899430 PECOS PAC ID: 0446617013 Enrollment ID: O20230613002561

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. Miranda Mae Riddle 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
Miranda Mae Riddle, MS, CCC-SLP 12505 N 1500th Rd, Macomb, IL 61455-8425 Ph: (325) 212-3239	Miranda Mae Riddle, MS, CCC-SLP 12505 N 1500th Rd, Macomb, IL 61455-8425 Ph: (325) 212-3239

Reviews and Comments

Speech-Language Pathologist in Macomb, IL

Wesley Village, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1200 East Grant Street, Macomb, IL 61455 Phone: 309-833-2613 Fax: 309-837-7500
Patricia Lee Pasquesi-nemec, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 336 S Lafayette St, Macomb, IL 61455 Phone: 309-833-5226 Fax: 309-833-3989
Kathryn Ann Pohlpeter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 Fax: 309-836-1589
Heidi Lee Elbe, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant Street, Macomb, IL 61455 Phone: 309-833-4101 Fax: 309-836-1589
Charnelle Nicole Brinker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 University Cir, Macomb, IL 61455 Phone: 575-799-8657
Trinity Speech Services Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 12505 N 1500th Rd, Macomb, IL 61455 Phone: 325-212-3239

Miranda Mae Riddle, MS, CCC-SLP - Medicare Speech-Language Pathologist in Macomb, IL