Dr Charlie E Richardson, MD is a medicare enrolled "Surgery" physician in Madison, Florida. He went to Meharry Medical College School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Neighborhood Medical Center, Inc and his current practice location is
309 Ne Marion St, Madison, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 973-3456.
Dr Charlie E Richardson is licensed to practice in Florida (license number ME30397) 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 1063401925.
Physician's Profile
| Full Name | Dr Charlie E Richardson |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 49 Years |
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| Location | 309 Ne Marion St, Madison, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charlie E Richardson attended and graduated from Meharry Medical College School Of Medicine in 1975
NPI Data:
- NPI Number: 1063401925
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1052393329
- Enrollment ID: I20040602000521
Medical Identifiers
Medical identifiers for Dr Charlie E Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063401925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | ME30397 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Neighborhood Medical Center, Inc | 7517082837 | 7 |
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 Charlie E Richardson allows following entities to bill medicare on his behalf.
| Entity Name | Neighborhood Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487869467
PECOS PAC ID: 7517082837
Enrollment ID: O20100909001205 |
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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. Dr Charlie E 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 Address | Practice Location Address |
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Dr Charlie E Richardson, MD
2740 Hickory Ridge Rd,
Tallahassee, FL 32308-4010
Ph: (850) 552-0922 | Dr Charlie E Richardson, MD
309 Ne Marion St,
Madison, FL 32340-2511
Ph: (850) 973-3456 |
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