Daniel Dale Richardson, MD | |
615 E 12th St, Washington, NC 27889-3408 | |
(252) 946-0181 | |
(252) 946-7774 |
Full Name | Daniel Dale Richardson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 615 E 12th St, Washington, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851338172 | NPI | - | NPPES |
P00322237 | Other | NC | RAILROAD MEDICARE |
2223843B | Other | NC | AETNA |
7908120 | Other | NC | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 9600700 (North Carolina) | Primary |
208600000X | Surgery | 036263 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Roanoke Chowan Hospital | Ahoskie, NC | Hospital |
Vidant Medical Center | Greenville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Medical Group Llc | 0345343893 | 850 |
Dhp Of North Carolina Pc | 1153570783 | 21 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Outer Banks Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
Entity Name | Dhp Of North Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780949032 PECOS PAC ID: 1153570783 Enrollment ID: O20120925000775 |
Mailing Address | Practice Location Address |
---|---|
Daniel Dale Richardson, MD 615 E 12th St, Washington, NC 27889-3408 Ph: (252) 946-0181 | Daniel Dale Richardson, MD 615 E 12th St, Washington, NC 27889-3408 Ph: (252) 946-0181 |
James B Coleman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 615 E 12th St, Washington, NC 27889 Phone: 252-946-0181 Fax: 252-946-7774 | |
Dr. Matthew Ward Romine, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 615 E 12th St, Washington, NC 27889 Phone: 252-946-0181 Fax: 252-946-7774 | |
William W Tipton, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 615 E 12th St, Washington, NC 27889 Phone: 252-946-0181 Fax: 252-946-7774 |