Stephanie Ann Rideaux, DNP, WHNP-BC in Mesa, AZ

Stephanie Ann Rideaux, DNP, WHNP-BC is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Mesa, Arizona. Her current practice location is 950 E Main St, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 655-6200.

Stephanie Ann Rideaux is licensed to practice in Arizona (license number 241579) 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 1760006415.

Contact Information

	Stephanie Ann Rideaux, DNP, WHNP-BC
	950 E Main St, Mesa, AZ 85203-8820
	(602) 655-6200
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Ann Rideaux
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	950 E Main St, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760006415
Provider Enumeration Date: 05/28/2020
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 5890119531
Enrollment ID: I20200728001141

Medical Identifiers

Medical identifiers for Stephanie Ann Rideaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760006415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	241579 (Arizona)	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. Stephanie Ann Rideaux allows following entities to bill medicare on her behalf.

Entity Name	Maricopa County Special Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

Entity Name	Women's Care Arizona, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942977624 PECOS PAC ID: 6103215322 Enrollment ID: O20211109003308

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. Stephanie Ann Rideaux 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
Stephanie Ann Rideaux, DNP, WHNP-BC 4824 E Baseline Rd Ste 129, Mesa, AZ 85206-4679 Ph: (480) 644-1001	Stephanie Ann Rideaux, DNP, WHNP-BC 950 E Main St, Mesa, AZ 85203-8820 Ph: (602) 655-6200

Reviews and Comments

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Stephanie Ann Rideaux, DNP, WHNP-BC - Medicare Nurse Practitioner in Mesa, AZ