Dr Alice R Riedel, MD is a medicare enrolled "Family Medicine" physician in Willard, Missouri. Her current practice location is
520 E Jackson St, Willard, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 742-2300.
Dr Alice R Riedel is licensed to practice in Missouri (license number 2004025508) 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 1245378413.
Physician's Profile
| Full Name | Dr Alice R Riedel |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 520 E Jackson St, Willard, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245378413
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 01/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 5294783783
- Enrollment ID: I20050111000938
Medical Identifiers
Medical identifiers for Dr Alice R Riedel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245378413 | NPI | - | NPPES |
| 208373506 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2004025508 (Missouri) | 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. Dr Alice R Riedel allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060 |
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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. Dr Alice R Riedel 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 |
|---|
Dr Alice R Riedel, MD
Po Box 2580,
Springfield, MO 65801-2580
Ph: (417) 829-4620 | Dr Alice R Riedel, MD
520 E Jackson St,
Willard, MO 65781-9200
Ph: (417) 742-2300 |
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