Dr Mitchell Paul Rider, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Mountain Home, Tennessee. His current practice location is
Bldg 20 Memorial Ave, Mountain Home, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 926-1171.
Dr Mitchell Paul Rider is licensed to practice in Tennessee (license number DPM0000000778) 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 1790160364.
Healthcare Provider's Profile
| Full Name | Dr Mitchell Paul Rider |
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| 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790160364
- Provider Enumeration Date: 07/24/2015
- Last Update Date: 10/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476919945
- Enrollment ID: I20230525002803
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
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 |
|---|
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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