Dr Kenneth Roy Richards, MD is a medicare enrolled "Pediatrics" physician in Crossett, Arkansas. His current practice location is
1003 Fred Lagrone Dr, Crossett, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 364-3800.
Dr Kenneth Roy Richards is licensed to practice in Arkansas (license number E8766) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710186945.
Physician's Profile
Full Name | Dr Kenneth Roy Richards |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1003 Fred Lagrone Dr, Crossett, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710186945
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 05/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658591268
- Enrollment ID: I20141002001620
Medical Identifiers
Medical identifiers for Dr Kenneth Roy Richards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710186945 | NPI | - | NPPES |
203261001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | E8766 (Arkansas) | 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 Kenneth Roy Richards allows following entities to bill medicare on his behalf.
Entity Name | Crossett Health Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174608012 PECOS PAC ID: 9133030117 Enrollment ID: O20100804000041 |
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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 Kenneth Roy 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 Kenneth Roy Richards, MD 104 Lakewood Ct, Crossett, AR 71635-3922 Ph: (870) 415-8341 | Dr Kenneth Roy Richards, MD 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 Ph: (870) 364-3800 |
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