Dr Carol Richardson, MD | |
284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | |
(704) 939-1100 | |
(704) 939-1173 |
Full Name | Dr Carol Richardson |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 284 Executive Park Dr Ste 100, Concord, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154364578 | NPI | - | NPPES |
8971543 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 29646 (North Carolina) | Primary |
Entity Name | Monarch |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
Entity Name | Carolina Outreach, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083723266 PECOS PAC ID: 0446449748 Enrollment ID: O20110118000335 |
Mailing Address | Practice Location Address |
---|---|
Dr Carol Richardson, MD 4550 Country Club Rd, Winston Salem, NC 27104-3518 Ph: (336) 760-1330 | Dr Carol Richardson, MD 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 |
Laura Ann Levin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1085 Ne Gateway Ct Ne, Ste 290, Concord, NC 28025 Phone: 704-403-4650 | |
Louis David Viamonte, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 380 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-403-1800 | |
Howard Lawrence Kreger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025 Phone: 704-403-1911 | |
Katherine Cyran Van Poppel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660 | |
Eric L. Marin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025 Phone: 704-403-1911 | |
Erik James Sass, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025 Phone: 704-403-1911 |