Katya Victoria Ridore, FNP in Longwood, FL - Medicare Nurse Practitioner

Katya Victoria Ridore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Longwood, Florida. Her current practice location is 315 S Ronald Reagan Blvd, Longwood, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 637-5656.

Katya Victoria Ridore is licensed to practice in Florida (license number APRN11005676) 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 1699331470.

Contact Information

	Katya Victoria Ridore, FNP
	315 S Ronald Reagan Blvd, Longwood, FL 32750-5404
	(407) 637-5656
	(407) 637-5725

Map and Direction

Provider's Profile

Full Name	Katya Victoria Ridore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	315 S Ronald Reagan Blvd, Longwood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699331470
Provider Enumeration Date: 05/16/2019
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 4082949862
Enrollment ID: I20190716003122

Medical Identifiers

Medical identifiers for Katya Victoria Ridore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699331470	NPI	-	NPPES
112849800	Medicaid	FL
OQ279	Other	FL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11005676 (Florida)	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. Katya Victoria Ridore allows following entities to bill medicare on her behalf.

Entity Name	The Memorial Hospital Of William F And Gertrude F Jones Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720030703 PECOS PAC ID: 7012828486 Enrollment ID: O20040310000938

Entity Name	Essen Medical Urgicare, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903

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. Katya Victoria Ridore 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
Katya Victoria Ridore, FNP 315 S Ronald Reagan Blvd, Longwood, FL 32750-5404 Ph: (407) 637-5656	Katya Victoria Ridore, FNP 315 S Ronald Reagan Blvd, Longwood, FL 32750-5404 Ph: (407) 637-5656

Reviews and Comments

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Katya Victoria Ridore, FNP - Medicare Nurse Practitioner in Longwood, FL