Dr Kristen Rivera, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mendota Heights, Minnesota. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Care Clinics Llc and her current practice location is
1155 Northland Dr, Mendota Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 223-8898.
Dr Kristen Rivera is licensed to practice in Minnesota (license number LP6163) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962955302.
Healthcare Provider's Profile
| Full Name | Dr Kristen Rivera |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 1155 Northland Dr, Mendota Heights, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kristen Rivera graduated from medical school in 2013
NPI Data:
- NPI Number: 1962955302
- Provider Enumeration Date: 08/02/2016
- Last Update Date: 04/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981962396
- Enrollment ID: I20171212002638
Medical Identifiers
Medical identifiers for Dr Kristen Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962955302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP6163 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Care Clinics Llc | 7517181266 | 61 |
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 Kristen Rivera allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592 |
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| Entity Name | Care Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851716245
PECOS PAC ID: 7517181266
Enrollment ID: O20140619000479 |
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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 Kristen Rivera 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 Kristen Rivera, PSYD
1155 Northland Dr,
Mendota Heights, MN 55120-1288
Ph: (612) 223-8898 | Dr Kristen Rivera, PSYD
1155 Northland Dr,
Mendota Heights, MN 55120-1288
Ph: (612) 223-8898 |
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