Dr Richard Lee Braithwaite, MD is a medicare enrolled "Hospitalist" physician in Holly Hill, Florida. He went to West Virginia University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Florida Health Care Plan Inc and his current practice location is
1340 Ridgewood Ave, Holly Hill, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 676-7130.
Dr Richard Lee Braithwaite is licensed to practice in Florida (license number ME90496) 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 1730107509.
Physician's Profile
| Full Name | Dr Richard Lee Braithwaite |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 1340 Ridgewood Ave, Holly Hill, 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 Richard Lee Braithwaite attended and graduated from West Virginia University School Of Medicine in 2001
NPI Data:
- NPI Number: 1730107509
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 02/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 7719952837
- Enrollment ID: I20100902000268
Medical Identifiers
Medical identifiers for Dr Richard Lee Braithwaite such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730107509 | NPI | - | NPPES |
| 1730107509 | Other | FL | TRICARE |
| 275120800 | Medicaid | FL | |
| 1730107509 | Other | FL | VHN |
| P01348388 | Other | FL | RAILROAD |
| 01636 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | ME90496 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florida Health Care Plan Inc | 9436201233 | 82 |
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 Richard Lee Braithwaite allows following entities to bill medicare on his behalf.
| Entity Name | Florida Health Care Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558302042
PECOS PAC ID: 9436201233
Enrollment ID: O20090708000537 |
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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 Richard Lee Braithwaite 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 Richard Lee Braithwaite, MD
P.o. Box 9671,
Daytona Beach, FL 32120-9671
Ph: (386) 676-7130 | Dr Richard Lee Braithwaite, MD
1340 Ridgewood Ave,
Holly Hill, FL 32117-2320
Ph: (386) 676-7130 |
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