Gaines E Richardson, MD is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" physician in New Glarus, Wisconsin. His current practice location is
1800 2nd St, New Glarus, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 527-5296.
Gaines E Richardson is licensed to practice in Wisconsin (license number 38784-20) 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 1841349917.
Physician's Profile
| Full Name | Gaines E Richardson |
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| Gender | Male |
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| Speciality | Family Medicine - Hospice And Palliative Medicine |
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| Location | 1800 2nd St, New Glarus, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841349917
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810809134
- Enrollment ID: I20050609001105
Medical Identifiers
Medical identifiers for Gaines E Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841349917 | NPI | - | NPPES |
| 1017410 | Other | | PHYSICIANS PLUS |
| 32399400 | Other | | HIRSP |
| 390808509 | Other | | WPS |
| 90002361 | Other | | WEA INS |
| 80138944 | Other | | MEDICARE RAILROAD |
| 390808509 | Other | | CT GENERAL |
| 390808509 | Other | | CIGNA |
| 39080850991 | Other | | UNITY |
| 690004890 | Other | | MEDIARE RAILROAD |
| 32399400 | Medicaid | WI | |
| 54979 | Other | | HEALTH ALLIANCE MEDICAL |
| 11565 | Other | | DEAN HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 38784 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 036-102494 (Illinois) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 38784-20 (Wisconsin) | 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. Gaines E Richardson allows following entities to bill medicare on his behalf.
| Entity Name | Agnesian Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263 |
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| Entity Name | The Monroe Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386720548
PECOS PAC ID: 3072425495
Enrollment ID: O20031104000392 |
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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. Gaines E Richardson 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 |
|---|
Gaines E Richardson, MD
1800 2nd St,
New Glarus, WI 53574-9326
Ph: (608) 527-5296 | Gaines E Richardson, MD
1800 2nd St,
New Glarus, WI 53574-9326
Ph: (608) 527-5296 |
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