Tommie Mack Richardson, MD is a medicare enrolled "Family Medicine - Addiction Medicine" provider in Smyrna, Georgia. He graduated from healthcare school in 1972 and has 52 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Personal Recovery Network Llc and his current practice location is
400 Technology Ct Se Ste J, Smyrna, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 866-5700.
Tommie Mack Richardson is licensed to practice in Georgia (license number 31313) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013006584.
Healthcare Provider's Profile
| Full Name | Tommie Mack Richardson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 52 Years |
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| Location | 400 Technology Ct Se Ste J, Smyrna, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tommie Mack Richardson graduated from medical school in 1972
NPI Data:
- NPI Number: 1013006584
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466510730
- Enrollment ID: I20081015000685
Medical Identifiers
Medical identifiers for Tommie Mack Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013006584 | NPI | - | NPPES |
| 000471479F | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 031313 (Georgia) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 31313 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Personal Recovery Network Llc | 5092611384 | 334 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tommie Mack Richardson allows following entities to bill medicare on his behalf.
| Entity Name | Personal Recovery Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096 |
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| Entity Name | Recovery Unlimited,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427434554
PECOS PAC ID: 5092002667
Enrollment ID: O20160926000576 |
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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. Tommie Mack Richardson 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 |
|---|
Tommie Mack Richardson, MD
4015 S Cobb Dr, #115,
Smyrna, GA 30080
Ph: (770) 431-2354 | Tommie Mack Richardson, MD
400 Technology Ct Se Ste J,
Smyrna, GA 30082-5237
Ph: (770) 866-5700 |
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