Dr Martin Paul Richard, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Rice Lake, Wisconsin. His current practice location is
1700 W Stout St, Rice Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 326-6291.
Dr Martin Paul Richard is licensed to practice in Wisconsin (license number 84142) 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 1558034520.
Physician's Profile
Full Name | Dr Martin Paul Richard |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1700 W Stout St, Rice Lake, Wisconsin |
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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: 1558034520
- Provider Enumeration Date: 07/27/2021
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436557519
- Enrollment ID: I20211004001104
Medical Identifiers
Medical identifiers for Dr Martin Paul Richard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558034520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 125.079121 (Illinois) | Secondary |
207Q00000X | Family Medicine | 125079121 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 84142 (Wisconsin) | Primary |
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 Martin Paul Richard 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 Martin Paul Richard, MD 300 W Oak St Ste 200, Carbondale, IL 62901-1400 Ph: () - | Dr Martin Paul Richard, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 326-6291 |
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