Miosotis Aymee Ridley, in Statesville, NC - Medicare Nurse Practitioner

Miosotis Aymee Ridley, is a medicare enrolled "Nurse Practitioner - Family" in Statesville, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gastro Health, Llc and her current practice location is 1404 Fern Creek Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 978-4025.

Miosotis Aymee Ridley is licensed to practice in North Carolina (license number 5015269) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760146724.

Contact Information

	Miosotis Aymee Ridley,
	1404 Fern Creek Dr, Statesville, NC 28625-9376
	(704) 978-4025
	Not Available

Map and Direction

Provider's Profile

Full Name	Miosotis Aymee Ridley
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1404 Fern Creek Dr, Statesville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miosotis Aymee Ridley graduated from nursing school in 2021

NPI Data:

NPI Number: 1760146724
Provider Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 6507257151
Enrollment ID: I20230726004165

Medical Identifiers

Medical identifiers for Miosotis Aymee Ridley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760146724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5015269 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lee Memorial Hospital	Fort myers, FL	Hospital
Cape Coral Hospital	Cape coral, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gastro Health, Llc	2365440567	245

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. Miosotis Aymee Ridley allows following entities to bill medicare on her behalf.

Entity Name	Gastro Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487767133 PECOS PAC ID: 2365440567 Enrollment ID: O20061127000011

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. Miosotis Aymee Ridley 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
Miosotis Aymee Ridley, Po Box 1845, Statesville, NC 28687-1845 Ph: (704) 873-4277	Miosotis Aymee Ridley, 1404 Fern Creek Dr, Statesville, NC 28625-9376 Ph: (704) 978-4025

Reviews and Comments

Nurse Practitioner Nurses in Statesville, NC

Tanya Kapp Maxwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 Davie Ave, Statesville, NC 28677 Phone: 704-873-1036 Fax: 704-873-1058
Mrs. Laurie A Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Minute Clinic, Statesville, NC 28625 Phone: 704-872-6355 Fax: 401-652-9787
Cecilia Kaechele, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-997-5525 Fax: 704-997-5531
Kelly Dawkins Bumgardner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Brookdale Dr Ste 100, Statesville, NC 28677 Phone: 704-873-7850
Rachel Danielle Stanley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 536 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-872-0234
Lisa Vang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-872-6355
Ms. Judy Lackey Keighron, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308c Mocksville Hwy, Statesville, NC 28625 Phone: 704-873-4484 Fax: 704-873-4485

Miosotis Aymee Ridley, - Medicare Nurse Practitioner in Statesville, NC