Lee Rivard, CRNA in St Paul, MN - Medicare Nurse Anesthetist, Certified Registered

Lee Rivard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in St Paul, Minnesota. His current practice location is 640 Jackson St, Mail Stop 11503p, St Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-3456.

Lee Rivard is licensed to practice in Minnesota (license number R0840532) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003871229.

Contact Information

	Lee Rivard, CRNA
	640 Jackson St, Mail Stop 11503p, St Paul, MN 55101-2502
	(651) 254-3456
	(651) 254-3048

Map and Direction

Provider's Profile

Full Name	Lee Rivard
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	640 Jackson St, St Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003871229
Provider Enumeration Date: 04/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6901950278
Enrollment ID: I20090820000663

Medical Identifiers

Medical identifiers for Lee Rivard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003871229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R0840532 (Minnesota)	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. Lee Rivard allows following entities to bill medicare on his behalf.

Entity Name	Gillette Childrens Specialty Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485

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. Lee Rivard 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
Lee Rivard, CRNA 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961	Lee Rivard, CRNA 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101-2502 Ph: (651) 254-3456

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in St Paul, MN

Robert A Lamppa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870
Virginia M Glendenning, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870
Robert D West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048
Morli J Gamm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870
Joyce Jacobson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048
Matthew J Kuckler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870

Lee Rivard, CRNA - Medicare Nurse Anesthetist, Certified Registered in St Paul, MN