MATTHEW MICHAEL KRIDEL PHD
NPI 1588221808
Psychologist - Health in Augusta, GA

NPI Status: Active since May 22, 2019

Contact Information

997 SAINT SEBASTIAN WAY
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-6719

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  • Individual
  • Male
  • Years of Experience 8
  • Psychologist
  • Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MATTHEW KRIDEL

This page provides the complete NPI Profile along with additional information for Matthew Kridel, a provider established in Augusta, Georgia with a medical specialization in Psychologist, focusing in health and more than 8 years of experience. He graduated from University Of South Alabama College Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1588221808 assigned on May 2019. The practitioner's primary taxonomy code is 103TH0004X with license number PSY004537 (GA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1588221808
Provider Name
MATTHEW MICHAEL KRIDEL PHD
Gender
Male
Entity Type
Individual
Location Address
997 SAINT SEBASTIAN WAY AUGUSTA, GA 30912
Location Phone
(706) 721-6719
Mailing Address
997 SAINT SEBASTIAN WAY AUGUSTA, GA 30912
Mailing Phone
(706) 721-6597
Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
05-22-2019
Last Update Date
09-22-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Health

Taxonomy Code
103TH0004X
Type
Behavioral Health & Social Service Providers
License No.
PSY004537
License State
GA
Taxonomy Description
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Matthew Kridel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Matthew Kridel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3870991284

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20211014001535

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Kridel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
AU MEDICAL CENTER1120 15TH STREET
AUGUSTA, GA 30912
(706) 721-6569Acute Care Hospitals

Reviews for MATTHEW MICHAEL KRIDEL PHD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588221808, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 4 + 2 + 2 + 8 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1588221808.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychologist (Exercise & Sports)
997 SAINT SEBASTIAN WAY, EC4503
AUGUSTA, GA 30912
Psychologist
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychiatry & Neurology (Psychiatry)
997 SAINT SEBASTIAN WAY, EG-3027
AUGUSTA, GA 30912
Psychologist (Clinical)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychiatry & Neurology (Psychiatry)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychiatry & Neurology (Child & Adolescent Psychiatry)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychologist
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychologist (Health)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychologist (Clinical Child & Adolescent)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychiatry & Neurology (Child & Adolescent Psychiatry)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychiatry & Neurology (Psychiatry)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Counselor
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Counselor
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychiatry & Neurology (Psychiatry)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychologist
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychiatry & Neurology (Psychiatry)
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Psychologist
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588221808, enumerated as an "individual" on May 22, 2019.

The provider is located at 997 SAINT SEBASTIAN WAY AUGUSTA, GA 30912 and the phone number is (706) 721-6719.

Psychologist with taxonomy code 103TH0004X and a focus in Health.

The provider might be accepting Accepts: Alliant Health Plans, Inc. and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.

Matthew Kridel is affiliated with: AU MEDICAL CENTER.