Carly Rachel Richards, MD is a medicare enrolled "Surgery" physician in Fort Benning, Georgia. Her current practice location is
6600 Van Aalst Blvd, Fort Benning, Georgia. You can reach out to her office (for appointments etc.) via phone at
(762) 408-3565.
Carly Rachel Richards is licensed to practice in Georgia (license number 84461) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518305119.
Physician's Profile
Full Name | Carly Rachel Richards |
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Gender | Female |
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Speciality | Surgery |
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Location | 6600 Van Aalst Blvd, Fort Benning, Georgia |
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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: 1518305119
- Provider Enumeration Date: 06/05/2013
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658782834
- Enrollment ID: I20230630002948
Medical Identifiers
Medical identifiers for Carly Rachel Richards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518305119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 84461 (Georgia) | 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. Carly Rachel Richards allows following entities to bill medicare on her behalf.
Entity Name | Acute Care Surgery Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20221228000474 |
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Entity Name | Surgical Affiliates Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20230712000843 |
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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. Carly Rachel Richards 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 |
Carly Rachel Richards, MD 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 Ph: (762) 408-3565 | Carly Rachel Richards, MD 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 Ph: (762) 408-3565 |
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