Michelle Rae Rivera, is a medicare enrolled "Nurse Practitioner - Family" physician in Phoenix, Arizona. Her current practice location is
10631 S 51st St Ste 8, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 418-7246.
Michelle Rae Rivera is licensed to practice in Arizona (license number 265613) 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 1174290910.
Physician's Profile
Full Name | Michelle Rae Rivera |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 10631 S 51st St Ste 8, Phoenix, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174290910
- Provider Enumeration Date: 08/28/2021
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931643269
- Enrollment ID: I20240627003014
Medical Identifiers
Medical identifiers for Michelle Rae Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174290910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN158234 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | 265613 (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. Michelle Rae Rivera allows following entities to bill medicare on her behalf.
Entity Name | Century Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346499324 PECOS PAC ID: 3971665605 Enrollment ID: O20090203000530 |
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Entity Name | Cogent Healthcare Of Arizona Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843 |
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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. Michelle Rae 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 |
Michelle Rae Rivera, 10901 E Pueblo Ave, Mesa, AZ 85208-3907 Ph: (480) 467-8169 | Michelle Rae Rivera, 10631 S 51st St Ste 8, Phoenix, AZ 85044-5225 Ph: (480) 418-7246 |
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