Dr Tera Riddick, - Medicare Nurse Practitioner in Hattiesburg, MS

Dr Tera Riddick, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hattiesburg, Mississippi. Her current practice location is 107 Xavier St, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 310-9785.

Dr Tera Riddick is licensed to practice in Mississippi (license number 902065) 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 1437683174.

Contact Information

Dr Tera Riddick,
107 Xavier St,
Hattiesburg, MS 39401-3618
(601) 310-9785
Not Available

Map and Direction




Provider's Profile

Full NameDr Tera Riddick
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location107 Xavier St, Hattiesburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437683174
  • Provider Enumeration Date: 04/19/2017
  • Last Update Date: 07/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860896610
  • Enrollment ID: I20210802001974

Medical Identifiers

Medical identifiers for Dr Tera Riddick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437683174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP136023 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704337467 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 847297 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 64961 (New Mexico)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP136023 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 277.001649 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61207763 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71519 (Idaho)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 3017193 (Kentucky)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11016385 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 403905 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95008223 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 12410130-4405 (Utah)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024182319 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 902065 (Mississippi)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 Tera Riddick allows following entities to bill medicare on her behalf.
Entity NameMolina Care Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20170427000126

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 Tera Riddick 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 AddressPractice Location Address
Dr Tera Riddick,
107 Xavier St,
Hattiesburg, MS 39401-3618

Ph: (601) 310-9785
Dr Tera Riddick,
107 Xavier St,
Hattiesburg, MS 39401-3618

Ph: (601) 310-9785

Reviews and Comments


Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC
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Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-288-1700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.