Dr Ebony Makeda Richards, MD in Woodbridge, VA

Dr Ebony Makeda Richards, MD is a medicare enrolled "Pediatrics" physician in Woodbridge, Virginia. Her current practice location is 14139 Potomac Mills Road, Pediatrics, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 359-7878.

Dr Ebony Makeda Richards is licensed to practice in Virginia (license number 0101258488) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235496811.

Contact Information

	Dr Ebony Makeda Richards, MD
	14139 Potomac Mills Road, Pediatrics, Woodbridge, VA 22192
	(703) 359-7878
	(703) 490-7695

Map and Direction

Physician's Profile

Full Name	Dr Ebony Makeda Richards
Gender	Female
Speciality	Pediatrics
Location	14139 Potomac Mills Road, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235496811
Provider Enumeration Date: 04/19/2012
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5193031490
Enrollment ID: I20150901002661

Medical Identifiers

Medical identifiers for Dr Ebony Makeda Richards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235496811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101258488 (Virginia)	Primary

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 Ebony Makeda Richards allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Ebony Makeda Richards 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
Dr Ebony Makeda Richards, MD 14139 Potomac Mills Road, Pediatrics, Woodbridge, VA 22192 Ph: (703) 359-7878	Dr Ebony Makeda Richards, MD 14139 Potomac Mills Road, Pediatrics, Woodbridge, VA 22192 Ph: (703) 359-7878

Reviews and Comments

Pediatrics Doctors in Woodbridge, VA

Paula A Labriola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647
Dr. Lisa A Pauls, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Road, Woodbridge, VA 22192 Phone: 703-490-7747 Fax: 703-490-7650
Joseph V Puglise, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647
Azka Sophie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-8400
Jocelyn D Trent, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 403, Woodbridge, VA 22191 Phone: 703-878-2233 Fax: 703-878-2254
Frances Marie Vega, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647
Erica Larae Wynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-7740

Dr Ebony Makeda Richards, MD - Medicare Pediatrics in Woodbridge, VA