Individual provider Active NPI

Rene Christine Rickert, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bedford, MA
National Provider Identifier
1225423247
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
289421 Issued in MA
Practice address
200 Springs Rd
Bedford, MA 01730-1114
Phone
(781) 879-7473
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME140013 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 289421 MA Primary

Addresses

Primary practice location

200 Springs Rd
Bedford, MA 01730-1114

Mailing address

200 Springs Rd
Bedford, MA 01730-1114
Phone (781) 879-7473

Other practice location 1

2001 Manatee Ave E Ste 103
Bradenton, FL 34208-1620
Phone (941) 803-8395

Other practice location 2

115 W Main St
Wauchula, FL 33873-3135
Phone (941) 803-8395

Other names 1

  • Rene Christine Rickert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714000441 MA Practitioner - Physical Medicine and Rehabilitation 3577865427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians
BLW Medical Services LLCGroup PAC ID 3476918053, 9 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159

2 Rehab Way
Woburn, MA 01801-6003
Phone (781) 935-5050

310 Baker Ave
Concord, MA 01742-2140

830 Constitution Ave
Littleton, MA 01460-1137
Phone (978) 287-8990

Hospital & facility affiliations

  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
WLB Rehabilitation Medicine Associates LLC CurrentSince Jun 1, 2022 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Oct 28, 2024 Accepting new patients
BLW Medical Services LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

54 Baker Avenue Ext
Ste 203
Concord, MA 01742
Phone (978) 287-3194

35 United Dr
Ste 102
West Bridgewater, MA 02379

2 Rehabilitation Way
Woburn, MA 01801
Phone (781) 935-5050

Interoperability endpoints

  • Direct secure messaging: rickert.rene.epa@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1225423247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-879-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-879-7473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Manatee Ave E Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342081620",
            "country_code": "US",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733135",
            "country_code": "US",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKERT",
        "first_name": "RENE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME140013",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MA",
            "license": "289421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "RICKERT",
            "middle_name": "CHRISTINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.