Travis William Richardson, is a medicare enrolled "Social Worker - Clinical" provider in Asheville, North Carolina. His current practice location is
3 Doctors Park Ste 3g, Asheville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 251-1478.
Travis William Richardson is licensed to practice in North Carolina (license number P014674) 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 1700485430.
Healthcare Provider's Profile
Full Name | Travis William Richardson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 3 Doctors Park Ste 3g, Asheville, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700485430
- Provider Enumeration Date: 10/23/2020
- Last Update Date: 10/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799142949
- Enrollment ID: I20230605000724
Medical Identifiers
Medical identifiers for Travis William Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700485430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-26709 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P014674 (North Carolina) | Primary |
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. Travis William Richardson allows following entities to bill medicare on his behalf.
Entity Name | October Road Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144375767 PECOS PAC ID: 3577611433 Enrollment ID: O20090501000491 |
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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. Travis William 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 |
Travis William Richardson, 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 Ph: (828) 251-1478 | Travis William Richardson, 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 Ph: (828) 251-1478 |
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