Dr Mitchell Paul Rider, DPM is a
Podiatrist - Foot & Ankle Surgery based in Mountain Home, Tennessee. Dr Mitchell Paul Rider is licensed to practice in Tennessee (license number DPM0000000778) and his current practice location is
Bldg 20 Memorial Ave, Mountain Home, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 926-1171.
NPI number for Dr Mitchell Paul Rider is 1790160364 and his current mailing address is Naval Hospital Cmp Ljn Pdtry, 100 Brewster Blvd, Camp Lejeune, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790160364.
Healthcare Provider's Profile
| Full Name | Dr Mitchell Paul Rider |
|---|
| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | Bldg 20 Memorial Ave, Mountain Home, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790160364
- Provider Enumeration Date: 07/24/2015
- Last Update Date: 10/24/2023
Medical Identifiers
Medical identifiers for Dr Mitchell Paul Rider such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790160364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | DPM0000000778 (Tennessee) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM0000000778 (Tennessee) | 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. Dr Mitchell Paul Rider is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mitchell Paul Rider, DPM
Naval Hospital Cmp Ljn Pdtry, 100 Brewster Blvd,
Camp Lejeune, NC 28547
Ph: (910) 450-3785 | Dr Mitchell Paul Rider, DPM
Bldg 20 Memorial Ave,
Mountain Home, TN 37684-4000
Ph: (423) 926-1171 |
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