Dr Vivian R Rider, MD in Winona, MN

Dr Vivian R Rider, MD is a medicare enrolled "Pediatrics" physician in Winona, Minnesota. Her current practice location is 1122 W Highway 61, Winona, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 615-0600.

Dr Vivian R Rider is licensed to practice in Minnesota (license number 34302) 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 1134160492.

Contact Information

	Dr Vivian R Rider, MD
	1122 W Highway 61, Winona, MN 55987-1957
	(507) 615-0600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vivian R Rider
Gender	Female
Speciality	Pediatrics
Location	1122 W Highway 61, Winona, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134160492
Provider Enumeration Date: 06/09/2006
Last Update Date: 01/08/2020

Medicare PECOS Information:

PECOS PAC ID: 0749580595
Enrollment ID: I20151130001120

Medical Identifiers

Medical identifiers for Dr Vivian R Rider such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134160492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	71936 (Wisconsin)	Secondary
208000000X	Pediatrics	34302 (Minnesota)	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 Vivian R Rider allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031113000579

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130807000951

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 Vivian R 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
Dr Vivian R Rider, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Dr Vivian R Rider, MD 1122 W Highway 61, Winona, MN 55987-1957 Ph: (507) 615-0600

Reviews and Comments

Pediatrics Doctors in Winona, MN

Sarah Ann Lallaman, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 Fax: 507-457-7737
Sheila A Hadaway, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672
Miss Kelli Ostermann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680

Dr Vivian R Rider, MD - Medicare Pediatrics in Winona, MN