Brant Ridder, in Fremont, NE - Medicare Physician Assistant

Brant Ridder, is a medicare enrolled "Physician Assistant" in Fremont, Nebraska. His current practice location is 410 E 22nd St Ste 1, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 719-7152.

Brant Ridder is licensed to practice in Nebraska (license number 3044) 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 1295469336.

Contact Information

	Brant Ridder,
	410 E 22nd St Ste 1, Fremont, NE 68025-2640
	(402) 719-7152
	Not Available

Provider's Profile

Full Name	Brant Ridder
Gender	Male
Speciality	Physician Assistant
Location	410 E 22nd St Ste 1, Fremont, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295469336
Provider Enumeration Date: 07/14/2022
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3173967825
Enrollment ID: I20240221001313

Medical Identifiers

Medical identifiers for Brant Ridder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295469336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	3044 (Nebraska)	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. Brant Ridder 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
Brant Ridder, 410 E 22nd St Ste 1, Fremont, NE 68025-2640 Ph: (402) 719-7152	Brant Ridder, 410 E 22nd St Ste 1, Fremont, NE 68025-2640 Ph: (402) 719-7152

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Physician Assistant Nurses in Fremont, NE

Bryce A Exstrom, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 W 23rd St, Suite D, Fremont, NE 68025 Phone: 402-721-8800 Fax: 402-753-6096
Mrs. Jessica Francis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 W 23rd St, Suite A, Fremont, NE 68025 Phone: 402-721-7077
Chelsey M Dierks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 E 23rd St, Fremont, NE 68025 Phone: 402-815-7100
Ami S Jones, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 426 E 22nd St Ste 100, Fremont, NE 68025 Phone: 402-727-7796 Fax: 402-727-9574
Margaret Elizabeth Krause, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 625 E 29th St, Fremont, NE 68025 Phone: 402-727-3351
Lynnda M Schiermann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 W 23rd St, Ste A, Fremont, NE 68025 Phone: 402-721-7077 Fax: 402-753-6056

Brant Ridder, - Medicare Physician Assistant in Fremont, NE