Lisa K Richardson, MD | |
18636 Dixie Hwy, Homewood, IL 60430-3741 | |
(708) 647-0571 | |
(708) 647-0676 |
Full Name | Lisa K Richardson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 18636 Dixie Hwy, Homewood, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992918726 | NPI | - | NPPES |
20999260 | Medicaid | IN | |
200999260 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036117734 (Illinois) | Secondary |
207Q00000X | Family Medicine | 01068767A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Catherine Hospital Inc | East chicago, IN | Hospital |
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
219 Health Network Inc | 0547521452 | 41 |
Entity Name | 219 Health Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
Mailing Address | Practice Location Address |
---|---|
Lisa K Richardson, MD 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 Ph: (317) 865-8988 | Lisa K Richardson, MD 18636 Dixie Hwy, Homewood, IL 60430-3741 Ph: (708) 647-0571 |
William Cleveland Campbell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 | |
Crystal D. Hines-mays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 | |
Dr. Priya Shastri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17901 Governors Hwy Ste 100, Homewood, IL 60430 Phone: 708-213-7975 Fax: 708-213-7975 |