Dr Benjamin Russell Richardson, DO - Medicare Obstetrics/gynecology in Show Low, AZ

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Dr Benjamin Russell Richardson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Show Low, Arizona. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Summit Healthcare Medical Associates and his current practice location is 5171 Cub Lake Rd Ste B210, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 537-0635.

Dr Benjamin Russell Richardson is licensed to practice in Arizona (license number 006656) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215222013.

Contact Information

Dr Benjamin Russell Richardson, DO
5171 Cub Lake Rd Ste B210,
Show Low, AZ 85901-7866
(928) 537-0635
(928) 532-8957

Map and Direction




Physician's Profile

Full NameDr Benjamin Russell Richardson
GenderMale
SpecialityObstetrics/gynecology
Experience13 Years
Location5171 Cub Lake Rd Ste B210, Show Low, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Benjamin Russell Richardson graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1215222013
  • Provider Enumeration Date: 06/09/2011
  • Last Update Date: 03/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0941510598
  • Enrollment ID: I20151218001730

Medical Identifiers

Medical identifiers for Dr Benjamin Russell Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215222013NPI-NPPES
022296MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 006656 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Healthcare Regional Medical CenterShow low, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Healthcare Medical Associates872920573779

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. Dr Benjamin Russell Richardson allows following entities to bill medicare on his behalf.
Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931

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. Dr Benjamin Russell 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 AddressPractice Location Address
Dr Benjamin Russell Richardson, DO
5171 Cub Lake Rd Ste 210,
Show Low, AZ 85901-7888

Ph: (928) 537-0635		Dr Benjamin Russell Richardson, DO
5171 Cub Lake Rd Ste B210,
Show Low, AZ 85901-7866

Ph: (928) 537-0635

Reviews and Comments


Obstetrics & Gynecology Doctors in Show Low, AZ

Brittany Leigh Stam, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5171 S Cub Lake Rd Ste C340, Show Low, AZ 85901
Phone: 480-821-3600    Fax: 480-857-2667
Mr. Patrick Wellington Connelly, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901
Phone: 928-537-9844    Fax: 928-537-4437

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.