Mrs Justina Michele Rider, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Sulphur Springs, Texas. Her current practice location is
113 Medical Cir, Sulphur Springs, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 885-1740.
Mrs Justina Michele Rider is licensed to practice in Texas (license number 1111836) 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 1578262556.
Physician's Profile
Full Name | Mrs Justina Michele Rider |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 113 Medical Cir, Sulphur Springs, Texas |
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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: 1578262556
- Provider Enumeration Date: 02/28/2023
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678935020
- Enrollment ID: I20230816002931
Medical Identifiers
Medical identifiers for Mrs Justina Michele Rider such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578262556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1111836 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 1111836 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1111836 (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. Mrs Justina Michele Rider allows following entities to bill medicare on her behalf.
Entity Name | Christus Trinity Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
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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. Mrs Justina Michele 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 |
Mrs Justina Michele Rider, NP Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400 | Mrs Justina Michele Rider, NP 113 Medical Cir, Sulphur Springs, TX 75482-2138 Ph: (903) 885-1740 |
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