Dr Stacy Leigh Rider, PSYD in Fort Sam Houston, TX

Dr Stacy Leigh Rider, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Sam Houston, Texas. Her current practice location is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 916-3201.

Dr Stacy Leigh Rider is licensed to practice in Texas (license number 33431) 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 1487863130.

Contact Information

	Dr Stacy Leigh Rider, PSYD
	3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501
	(210) 916-3201
	(210) 916-4040

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stacy Leigh Rider
Gender	Female
Speciality	Psychologist - Clinical
Location	3851 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487863130
Provider Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719061308
Enrollment ID: I20240509003511

Medical Identifiers

Medical identifiers for Dr Stacy Leigh Rider such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487863130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	33431 (Texas)	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 Stacy Leigh Rider allows following entities to bill medicare on her behalf.

Entity Name	Central Pines Psychological Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811189806 PECOS PAC ID: 8729162318 Enrollment ID: O20080220000530

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 Stacy Leigh 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 Stacy Leigh Rider, PSYD 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-3201	Dr Stacy Leigh Rider, PSYD 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-3201

Reviews and Comments

Psychologist in Fort Sam Houston, TX

Margaret Jackson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-1600
Dr. Michael Chatterton, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-539-9582
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 260-266-5400
Dr. Scott Camburn Storm, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Caroline B Williams, PH.D., M.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 706-304-3010 Fax: 800-866-8791
Dr. Mary Josephine Porter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Building 3600, Fort Sam Houston, TX 78234 Phone: 210-916-3946
Dr. Teresa Lynne Arata-maiers, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-5806

Dr Stacy Leigh Rider, PSYD - Medicare Psychologist in Fort Sam Houston, TX