Richard Allen Rivera, PA-C is a medicare enrolled "Physician Assistant" in Creede, Colorado. His current practice location is
802 Rio Grande Ln, Creede, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 658-0929.
Richard Allen Rivera is licensed to practice in Texas (license number PA04083) 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 1275576738.
Provider's Profile
Full Name | Richard Allen Rivera |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 802 Rio Grande Ln, Creede, Colorado |
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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: 1275576738
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840275541
- Enrollment ID: I20080522000242
Medical Identifiers
Medical identifiers for Richard Allen Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275576738 | NPI | - | NPPES |
07006364 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 636 (Colorado) | Secondary |
363A00000X | Physician Assistant | PA04083 (Texas) | 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. Richard Allen 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 |
Richard Allen Rivera, PA-C 310 County Road 14, Del Norte, CO 81132-8719 Ph: (719) 657-2510 | Richard Allen Rivera, PA-C 802 Rio Grande Ln, Creede, CO 81130-9554 Ph: (719) 658-0929 |
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