Randell Richardson, in Lewisville, TX - Medicare Dentist Provider

Randell Richardson, is a medicare enrolled "Dentist - General Practice" provider in Lewisville, Texas. His current practice location is 1288 W Main St, Suite 123, Lewisville, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 221-2220.

Randell Richardson is licensed to practice in Texas (license number 12891) 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 1912065020.

Contact Information

	Randell Richardson,
	1288 W Main St, Suite 123, Lewisville, TX 75067-3420
	(972) 221-2220
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randell Richardson
Gender	Male
Speciality	Dentist - General Practice
Location	1288 W Main St, Lewisville, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912065020
Provider Enumeration Date: 12/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1759687056
Enrollment ID: I20160314000550

Medical Identifiers

Medical identifiers for Randell Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912065020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	12891 (Texas)	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. Randell 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
Randell Richardson, 650 International Pkwy, Suite 100, Richardson, TX 75081-6612 Ph: (972) 221-2220	Randell Richardson, 1288 W Main St, Suite 123, Lewisville, TX 75067-3420 Ph: (972) 221-2220

Reviews and Comments

Dentist in Lewisville, TX

Dr. Jeff S Tan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 930 W Main St, Lewisville, TX 75067 Phone: 469-444-1595
Dr. Andrew Warren Randall, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 457 W Main St, Lewisville, TX 75057 Phone: 972-436-2431 Fax: 972-436-5633
Allan R Weaver, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 A W Main St, Lewisville, TX 75067 Phone: 972-436-1553 Fax: 972-353-5004
Mamatha Valishetty, Dentist Medicare: Not Enrolled in Medicare Practice Location: 755 State Highway 121 Byp # A200, Lewisville, TX 75067 Phone: 732-207-9775
Dr. Shirley E Mathew, DDS, FAGD Dentist Medicare: Not Enrolled in Medicare Practice Location: 860 Hebron Pkwy, Suite 902, Lewisville, TX 75057 Phone: 972-459-1100 Fax: 469-675-6495
James Ian Ballou, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2520 King Arthur Blvd Ste 105, Lewisville, TX 75056 Phone: 972-899-1465
Dr. Kathleen Huan Pham, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 951 W Main St, Suite A, Lewisville, TX 75067 Phone: 972-434-4300 Fax: 972-360-3294

Randell Richardson, - Medicare Dentist in Lewisville, TX