Dr Timothy Kyle Richmond, MD is a medicare enrolled "Pediatrics" physician in Brookville, Indiana. His current practice location is
10058 Cooley Rd, Brookville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 328-4324.
Dr Timothy Kyle Richmond is licensed to practice in Ohio (license number 35.133324) 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 1124405246.
Physician's Profile
Full Name | Dr Timothy Kyle Richmond |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 10058 Cooley Rd, Brookville, Indiana |
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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: 1124405246
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395091466
- Enrollment ID: I20180702003538
Medical Identifiers
Medical identifiers for Dr Timothy Kyle Richmond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124405246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35.133324 (Ohio) | 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 Timothy Kyle Richmond allows following entities to bill medicare on his behalf.
Entity Name | Children's Hospital Medical Center Of Akron |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841328853 PECOS PAC ID: 0648183012 Enrollment ID: O20031111000484 |
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Entity Name | Trihealth G Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295862944 PECOS PAC ID: 0749222651 Enrollment ID: O20050601000358 |
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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 Timothy Kyle Richmond 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 Timothy Kyle Richmond, MD 1 Perkins Sq, Akron, OH 44308-1063 Ph: (330) 543-1000 | Dr Timothy Kyle Richmond, MD 10058 Cooley Rd, Brookville, IN 47012-9509 Ph: (765) 328-4324 |
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