Rex Rizaldo, APRN in Springfield, IL - Medicare Nurse Practitioner

Rex Rizaldo, APRN is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Springfield, Illinois. His current practice location is 619 E Mason St Ste 4p57, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 788-0706.

Rex Rizaldo is licensed to practice in Illinois (license number 209026502) 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 1053022202.

Contact Information

	Rex Rizaldo, APRN
	619 E Mason St Ste 4p57, Springfield, IL 62701-1034
	(217) 788-0706
	(217) 525-2535

Map and Direction

Provider's Profile

Full Name	Rex Rizaldo
Gender	Male
Speciality	Nurse Practitioner - Critical Care Medicine
Location	619 E Mason St Ste 4p57, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053022202
Provider Enumeration Date: 12/08/2022
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1557732963
Enrollment ID: I20230123002080

Medical Identifiers

Medical identifiers for Rex Rizaldo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053022202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.026502 (Illinois)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	209.026502 (Illinois)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	209026502 (Illinois)	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. Rex Rizaldo allows following entities to bill medicare on his behalf.

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Rex Rizaldo 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
Rex Rizaldo, APRN 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 Ph: (217) 788-0706	Rex Rizaldo, APRN 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 Ph: (217) 788-0706

Reviews and Comments

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Jessica L Lee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 W Carpenter St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7144
Mr. Jay Benoit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 5, Springfield, IL 62702 Phone: 217-545-8000
Rebecca L Saunders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305
Melanie R Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0730 Fax: 217-862-0822

Rex Rizaldo, APRN - Medicare Nurse Practitioner in Springfield, IL