Mr Alex M Richeson, MS, RDN, CD in Baraboo, WI - Medicare Dietitian, Registered Provider

Mr Alex M Richeson, MS, RDN, CD is a medicare enrolled "Dietitian, Registered" provider in Baraboo, Wisconsin. His current practice location is S2845 White Eagle Rd, Baraboo, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 355-1240.

Mr Alex M Richeson is licensed to practice in Wisconsin (license number ) 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 1114623337.

Contact Information

	Mr Alex M Richeson, MS, RDN, CD
	S2845 White Eagle Rd, Baraboo, WI 53913-9064
	(608) 355-1240
	(608) 356-7152

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Alex M Richeson
Gender	Male
Speciality	Dietitian, Registered
Location	S2845 White Eagle Rd, Baraboo, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114623337
Provider Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 8729447925
Enrollment ID: I20230706002281

Medical Identifiers

Medical identifiers for Mr Alex M Richeson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114623337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(Wisconsin)	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. Mr Alex M Richeson allows following entities to bill medicare on his behalf.

Provider Name	Ho Chunk Nation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407911795 PECOS PAC ID: 5496709867 Enrollment ID: O20050309000066

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. Mr Alex M Richeson 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
Mr Alex M Richeson, MS, RDN, CD 1430 Walnut St Apt 4, Baraboo, WI 53913-2923 Ph: (920) 277-3401	Mr Alex M Richeson, MS, RDN, CD S2845 White Eagle Rd, Baraboo, WI 53913-9064 Ph: (608) 355-1240

Reviews and Comments

Dietitian, Registered in Baraboo, WI

Laura J Sachtjen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400
John T Stuntebeck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400
Jeannine Liloett Lise, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400
Kyla Ripp, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240
Rene A Walters, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400
Mrs. Julie Elizabeth Larsen, RD., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-335-1240

Mr Alex M Richeson, MS, RDN, CD - Medicare Dietitian in Baraboo, WI