Mark S Rider, PHD in Southlake, TX - Medicare Psychologist Provider

Mark S Rider, PHD is a medicare enrolled "Psychologist - Clinical" provider in Southlake, Texas. His current practice location is 558 Silicon Dr, #102, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 442-1707.

Mark S Rider is licensed to practice in Texas (license number 24516) 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 1336156975.

Contact Information

	Mark S Rider, PHD
	558 Silicon Dr, #102, Southlake, TX 76092-7529
	(817) 442-1707
	(817) 424-8428

Map and Direction

Healthcare Provider's Profile

Full Name	Mark S Rider
Gender	Male
Speciality	Psychologist - Clinical
Location	558 Silicon Dr, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336156975
Provider Enumeration Date: 08/02/2006
Last Update Date: 06/08/2009

Medicare PECOS Information:

PECOS PAC ID: 6709937550
Enrollment ID: I20090708000074

Medical Identifiers

Medical identifiers for Mark S Rider such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336156975	NPI	-	NPPES
00K03H	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	24516 (Texas)	Primary

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. Mark S 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
Mark S Rider, PHD 558 Silicon Dr, #102, Southlake, TX 76092-7529 Ph: (817) 442-1707	Mark S Rider, PHD 558 Silicon Dr, #102, Southlake, TX 76092-7529 Ph: (817) 442-1707

Reviews and Comments

Psychologist in Southlake, TX

Dr. Ashley Harrison Noble, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 211 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-488-3538
Dr. Kate Stark, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1723 E Southlake Blvd Ste 200, Southlake, TX 76092 Phone: 682-292-7012
Ryan Edward Holt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1723 E Southlake Blvd Ste 200, Southlake, TX 76092 Phone: 682-292-7012
Ms. Avni Vyas, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10725 East Southlake Blvd, 102, Southlake, TX 76092 Phone: 817-618-9307 Fax: 817-977-8553
Dr. Wyatt R Evans, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1723 E Southlake Blvd Ste 120, Southlake, TX 76092 Phone: 940-368-2664
Dr. Sarah Helen Thomas Randel, PHD PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 W Southlake Blvd, Suite 208, Southlake, TX 76092 Phone: 817-988-9472 Fax: 817-379-1731
Dr. April Minatrea, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 211 E Southlake Blvd, Suite 115, Southlake, TX 76092 Phone: 817-404-7999

Mark S Rider, PHD - Medicare Psychologist in Southlake, TX