Mrs Rebecca Rivera, PA-C is a medicare enrolled "Physician Assistant" in Charlestown, Indiana. Her current practice location is
7725 Highway 62 Ste 100, Charlestown, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 280-0413.
Mrs Rebecca Rivera is licensed to practice in Indiana (license number 10001839A) 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 1184053423.
Provider's Profile
Full Name | Mrs Rebecca Rivera |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 7725 Highway 62 Ste 100, Charlestown, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184053423
- Provider Enumeration Date: 11/07/2013
- Last Update Date: 05/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 0749403822
- Enrollment ID: I20150709000638
Medical Identifiers
Medical identifiers for Mrs Rebecca Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184053423 | NPI | - | NPPES |
300007796 | Medicaid | IN | |
IN1189154 | Other | IN | IN MEDICARE |
PA08679 | Other | TX | TEXAS MEDICAL BOARD PA LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 10001839A (Indiana) | Primary |
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. Mrs Rebecca 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 |
Mrs Rebecca Rivera, PA-C 2700 Stanley Gault Pkwy Ste 129, Louisville, KY 40223-5176 Ph: (502) 253-4917 | Mrs Rebecca Rivera, PA-C 7725 Highway 62 Ste 100, Charlestown, IN 47111 Ph: (812) 280-0413 |
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