Dr Shayna Colleen Rivard, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Wolfeboro, New Hampshire. Her current practice location is
55 Mill St, Wolfeboro, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 569-3376.
Dr Shayna Colleen Rivard is licensed to practice in New Hampshire (license number 22256) 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 1942595228.
Physician's Profile
| Full Name | Dr Shayna Colleen Rivard |
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| Gender | Female |
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| Speciality | Dermatology - Mohs-micrographic Surgery |
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| Location | 55 Mill St, Wolfeboro, New Hampshire |
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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: 1942595228
- Provider Enumeration Date: 06/14/2011
- Last Update Date: 07/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628331162
- Enrollment ID: I20230601002299
Medical Identifiers
Medical identifiers for Dr Shayna Colleen Rivard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942595228 | NPI | - | NPPES |
| 0101252746 | Other | VA | VIRGINIA BOARD OF MEDICINE |
| ME144349 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
| T6024 | Other | TX | TEXAS MEDICAL BOARD |
| 0000064760 | Other | TN | TENNESSEE DEPARTMENT OF HEALTH |
| 22256 | Other | NH | NEW HAMPSHIRE BOARD OF MEDICINE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 22256 (New Hampshire) | Secondary |
| 207N00000X | Dermatology | 0101252746 (Virginia) | Secondary |
| 207N00000X | Dermatology | T6024 (Texas) | Secondary |
| 207N00000X | Dermatology | MD0000064760 (Tennessee) | Secondary |
| 207N00000X | Dermatology | ME144349 (Florida) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 22256 (New Hampshire) | 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 Shayna Colleen Rivard allows following entities to bill medicare on her behalf.
| Entity Name | Adult & Pediatric Dermatology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285614834
PECOS PAC ID: 7012988306
Enrollment ID: O20101111001171 |
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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 Shayna Colleen Rivard 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 |
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Dr Shayna Colleen Rivard, MD
Adult & Pediatric Dermatology, Pc, 55 Mill Street,
Wolfeboro, NH 03894
Ph: (603) 626-7546 | Dr Shayna Colleen Rivard, MD
55 Mill St,
Wolfeboro, NH 03894-4328
Ph: (603) 569-3376 |
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