Lydia H Rivera, NP in Nogales, AZ - Medicare Nurse Practitioner

Lydia H Rivera, NP is a medicare enrolled "Nurse Practitioner" in Nogales, Arizona. Her current practice location is 1209 W Target Range Rd, Nogales, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 287-4747.

Lydia H Rivera is licensed to practice in Arizona (license number AP5061) 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 1225479868.

Contact Information

	Lydia H Rivera, NP
	1209 W Target Range Rd, Nogales, AZ 85621-2466
	(520) 287-4747
	(520) 285-3136

Map and Direction

Provider's Profile

Full Name	Lydia H Rivera
Gender	Female
Speciality	Nurse Practitioner
Location	1209 W Target Range Rd, Nogales, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225479868
Provider Enumeration Date: 07/11/2013
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 7618102591
Enrollment ID: I20131031000003

Medical Identifiers

Medical identifiers for Lydia H Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225479868	NPI	-	NPPES
836331	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP5061 (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. Lydia H Rivera allows following entities to bill medicare on her behalf.

Entity Name	Mariposa Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417985474 PECOS PAC ID: 8123926326 Enrollment ID: O20031226000065

Entity Name	Tucson Physician Group Holdings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261

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. Lydia H 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
Lydia H Rivera, NP 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 761-2133	Lydia H Rivera, NP 1209 W Target Range Rd, Nogales, AZ 85621-2466 Ph: (520) 287-4747

Reviews and Comments

Nurse Practitioner Nurses in Nogales, AZ

Mrs. Emily T Roth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-761-2133 Fax: 520-281-1112
Francisco Sandoval, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000
Rebekah Dawn Pairsh, CNM, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112
Maria Luz Sotomayor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112
Ms. Martha Veronica Borbon, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4747
Ms. Ada Maureen Rojas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3231 N Grand Ave, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112

Lydia H Rivera, NP - Medicare Nurse Practitioner in Nogales, AZ