Dr Charles Michael Richardson, MD | |
55 Wade Ave, Catonsville, MD 21228-4663 | |
(410) 402-6871 | |
(410) 402-6880 |
Full Name | Dr Charles Michael Richardson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 55 Wade Ave, Catonsville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154306116 | NPI | - | NPPES |
53587000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | D0038459 (Maryland) | Primary |
Entity Name | Mosaic Community Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
Mailing Address | Practice Location Address |
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Dr Charles Michael Richardson, MD 7662 Sweet Hours Way, Columbia, MD 21046-2476 Ph: (410) 381-2752 | Dr Charles Michael Richardson, MD 55 Wade Ave, Catonsville, MD 21228-4663 Ph: (410) 402-6871 |
Nancy Katherine Wahls, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Wade Ave, Catonsville, MD 21228 Phone: 443-506-9363 | |
Eliana Santoro, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Wade Ave, Catonsville, MD 21228 Phone: 410-402-7596 Fax: 410-402-7038 | |
Shahida B Chowdhury, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 55 Wade Aveune, Spring Grove Hospital, Catonsville, MD 21228 Phone: 410-402-7630 Fax: 410-402-7710 | |
Dr. David Lee Dunnigan, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Wade Ave, Catonsville, MD 21228 Phone: 301-402-7480 | |
Dr. Shanta Pearl Henderson Powell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 55 Wade Ave, Dayhoff B, Catonsville, MD 21228 Phone: 410-402-7749 Fax: 410-402-7678 | |
Darryl Merriel Coleman, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 6630 Baltimore National Pike, 205b, Catonsville, MD 21228 Phone: 410-744-7076 Fax: 410-744-9563 |