Beronie Vondell Richardson, MD in Marina Del Rey, CA

Beronie Vondell Richardson, MD is a medicare enrolled "Family Medicine" physician in Marina Del Rey, California. His current practice location is 4560 Admiralty Way Ste 100, Marina Del Rey, California. You can reach out to his office (for appointments etc.) via phone at (310) 827-3700.

Beronie Vondell Richardson is licensed to practice in California (license number A103394) 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 1235302373.

Contact Information

	Beronie Vondell Richardson, MD
	4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424
	(310) 827-3700
	(310) 578-5379

Map and Direction

Physician's Profile

Full Name	Beronie Vondell Richardson
Gender	Male
Speciality	Family Medicine
Location	4560 Admiralty Way Ste 100, Marina Del Rey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235302373
Provider Enumeration Date: 04/09/2008
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 6901976158
Enrollment ID: I20080530000696

Medical Identifiers

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

Identifier	Type	State	Issuer
1235302373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	A103394 (California)	Secondary
207Q00000X	Family Medicine	A103394 (California)	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. Beronie Vondell Richardson allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538

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. Beronie Vondell 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
Beronie Vondell Richardson, MD 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Beronie Vondell Richardson, MD 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 Ph: (310) 827-3700

Reviews and Comments

Family Medicine Doctors in Marina Del Rey, CA

Cathia Vazquez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-656-1770 Fax: 310-578-5379
Dr. Brian Antony Boben, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-301-0230 Fax: 310-301-0233
Dr. Michael Gorniowsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 428, Marina Del Rey, CA 90292 Phone: 310-306-1888 Fax: 310-577-8290
Anthony Martin Ocana, MD, CCFP, FASAM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292 Phone: 604-803-8513
Edward King, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700
Ahmed Ashary, Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700
Dr. Layla Nina Farrahi, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379

Beronie Vondell Richardson, MD - Medicare Family Medicine in Marina Del Rey, CA