Brenton G Richardson, MD in Hattiesburg, MS

Brenton G Richardson, MD is a medicare enrolled "Pediatrics" physician in Hattiesburg, Mississippi. His current practice location is 101 Medical Park, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 579-3000.

Brenton G Richardson is licensed to practice in Mississippi (license number 17138) 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 1871601070.

Contact Information

	Brenton G Richardson, MD
	101 Medical Park, Hattiesburg, MS 39401
	(601) 579-3000
	(601) 579-5240

Map and Direction

Physician's Profile

Full Name	Brenton G Richardson
Gender	Male
Speciality	Pediatrics
Location	101 Medical Park, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871601070
Provider Enumeration Date: 08/28/2006
Last Update Date: 07/17/2020

Medicare PECOS Information:

PECOS PAC ID: 1254413990
Enrollment ID: I20080202000019

Medical Identifiers

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

Identifier	Type	State	Issuer
1871601070	NPI	-	NPPES
00125352	Medicaid	MS
1425524	Medicaid	LA
2292729	Other	MS	AMERICAN ADMIN GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	17138 (Mississippi)	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. Brenton G Richardson allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Brenton G 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
Brenton G Richardson, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-3000	Brenton G Richardson, MD 101 Medical Park, Hattiesburg, MS 39401 Ph: (601) 579-3000

Reviews and Comments

Pediatrics Doctors in Hattiesburg, MS

Megan Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4210 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-261-3500 Fax: 601-579-5240
Lowry C Stanford Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39 Franklin Rd, Ste 220, Hattiesburg, MS 39402 Phone: 601-296-3050
Joshua Ryan Allen, Pediatrics Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Damea B Benton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Medical Park, Hattiesburg, MS 39401 Phone: 601-579-3000 Fax: 601-579-5240
Dr. Elizabeth M Felder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740
Jeffrey C Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2899 West 4th Street, Hattiesburg, MS 39406 Phone: 601-266-5390 Fax: 601-266-4205
Dr. John Wells Gaudet, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39 Franklin Rd, Ste. 200, Hattiesburg, MS 39402 Phone: 601-296-3050 Fax: 601-296-3013

Brenton G Richardson, MD - Medicare Pediatrics in Hattiesburg, MS