Doreen Rider, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Rochester, Minnesota. Her current practice location is
401 16th St Se, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 473-4327.
Doreen Rider is licensed to practice in Nevada (license number IC-1140) 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 1588182760.
Healthcare Provider's Profile
| Full Name | Doreen Rider |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 401 16th St Se, Rochester, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588182760
- Provider Enumeration Date: 09/07/2017
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002348570
- Enrollment ID: I20241022003381
Medical Identifiers
Medical identifiers for Doreen Rider such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588182760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 28831 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | IC-1140 (Nevada) | 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. Doreen Rider allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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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. Doreen Rider 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 |
Doreen Rider, LICSW 214 Saint Paul St Nw, Preston, MN 55965-1027 Ph: (507) 216-1075 | Doreen Rider, LICSW 401 16th St Se, Rochester, MN 55904-7973 Ph: (507) 473-4327 |
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