Teri Lee Ridlon, FNP - C is a medicare enrolled "Nurse Practitioner - Family" physician in Riverton, Wyoming. Her current practice location is
1005 College View Dr, Riverton, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 857-3488.
Teri Lee Ridlon is licensed to practice in Wyoming (license number 51464) 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 1033823380.
Physician's Profile
Full Name | Teri Lee Ridlon |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1005 College View Dr, Riverton, Wyoming |
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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: 1033823380
- Provider Enumeration Date: 01/11/2023
- Last Update Date: 07/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385016062
- Enrollment ID: I20230206001937
Medical Identifiers
Medical identifiers for Teri Lee Ridlon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033823380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 51464 (Wyoming) | Secondary |
363LF0000X | Nurse Practitioner - Family | 51464 (Wyoming) | 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. Teri Lee Ridlon allows following entities to bill medicare on her behalf.
Entity Name | Riverton Physician Practices, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205875614 PECOS PAC ID: 8426954496 Enrollment ID: O20040505000232 |
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Entity Name | Stgi Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427766427 PECOS PAC ID: 1850764226 Enrollment ID: O20230306001626 |
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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. Teri Lee Ridlon 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 |
Teri Lee Ridlon, FNP - C 1005 College View Dr, Riverton, WY 82501-2289 Ph: (207) 333-8892 | Teri Lee Ridlon, FNP - C 1005 College View Dr, Riverton, WY 82501-2289 Ph: (307) 857-3488 |
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