Kendra Rene Richardson, MD - Medicare Family Medicine in Mount Holly, NC

  1. Home
  2. Family Medicine
  3. NC
  4. Mount Holly
Kendra Rene Richardson, MD is a medicare enrolled "Family Medicine" physician in Mount Holly, North Carolina. Her current practice location is 215 S Main St, Ste 100, Mount Holly, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 302-8555.

Kendra Rene Richardson is licensed to practice in North Carolina (license number 2015-01954) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932511078.

Contact Information

Kendra Rene Richardson, MD
215 S Main St, Ste 100,
Mount Holly, NC 28120-1620
(704) 302-8555
Not Available

Map and Direction




Physician's Profile

Full NameKendra Rene Richardson
GenderFemale
SpecialityFamily Medicine
Location215 S Main St, Mount Holly, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932511078
  • Provider Enumeration Date: 05/23/2014
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092094383
  • Enrollment ID: I20170929002634

Medical Identifiers

Medical identifiers for Kendra Rene Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932511078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS1201XFamily Medicine - Sleep Medicine 2015-01954 (North Carolina)Secondary
207RS0012XInternal Medicine - Sleep Medicine 2015-01954 (North Carolina)Secondary
207Q00000XFamily Medicine 2015-01954 (North Carolina)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. Kendra Rene Richardson allows following entities to bill medicare on her behalf.
Entity NameCaromont Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356314272
PECOS PAC ID: 3577476258
Enrollment ID: O20031201000070
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819

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. Kendra Rene 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 AddressPractice Location Address
Kendra Rene Richardson, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Kendra Rene Richardson, MD
215 S Main St, Ste 100,
Mount Holly, NC 28120-1620

Ph: (704) 302-8555

Reviews and Comments


Family Medicine Doctors in Mount Holly, NC

Michael Alson Smith, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 305 W Catawba Ave, Mount Holly, NC 28120
Phone: 704-822-6200    Fax: 704-822-1601
Dr. Gregory Lee Glass, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 W Catawba Ave, Mount Holly, NC 28120
Phone: 704-827-3014    Fax: 704-822-9114
John Thomas Haney, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 215 S Main St, Mount Holly, NC 28120
Phone: 704-587-2400    
Doris Catherine Pate, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 215 S Main St, Mount Holly, NC 28120
Phone: 704-587-2400    Fax: 704-587-2401
Miranda Rae-tsukamoto Mcgahan, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 215 S Main St, Mount Holly, NC 28120
Phone: 704-587-2400    
Lee Alexander Beatty, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 215 S Main St, Mount Holly, NC 28120
Phone: 704-587-2400    Fax: 704-587-2401

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.