Dr Bunny Jupiter Ryder, DNP, FNP-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Sacramento, California. His current practice location is
2570 48th St, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at
(415) 385-0422.
Dr Bunny Jupiter Ryder is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639734478.
Provider's Profile
| Full Name | Dr Bunny Jupiter Ryder |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2570 48th St, Sacramento, California |
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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: 1639734478
- Provider Enumeration Date: 05/07/2019
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082028295
- Enrollment ID: I20210129001902
Medical Identifiers
Medical identifiers for Dr Bunny Jupiter Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639734478 | NPI | - | NPPES |
| 1639734478 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 818354 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95011287 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Bunny Jupiter Ryder allows following entities to bill medicare on his behalf.
| Entity Name | Asian And Pacific Islander Wellness Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376798413
PECOS PAC ID: 0143522839
Enrollment ID: O20160427002274 |
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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 Bunny Jupiter Ryder 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 Bunny Jupiter Ryder, DNP, FNP-C
822 Isabella St Unit A,
Oakland, CA 94607-3430
Ph: (415) 385-0422 | Dr Bunny Jupiter Ryder, DNP, FNP-C
2570 48th St,
Sacramento, CA 95817-1541
Ph: (415) 385-0422 |
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