Michael Joseph Richardson, MD | |
16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | |
(636) 458-0646 | |
(636) 458-5008 |
Full Name | Michael Joseph Richardson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 16555 Manchester Rd, Wildwood, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477589422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2006036186 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nurses & Company Hospice Care | Saint peters, MO | Hospice |
Mercy Hospital Washington | Washington, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Multispecialty Group Inc | 1658365572 | 146 |
Entity Name | American Multispecialty Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412 |
Entity Name | Mercy Clinic East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Mailing Address | Practice Location Address |
---|---|
Michael Joseph Richardson, MD 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646 | Michael Joseph Richardson, MD 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646 |
Bryan James Cannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16555 Manchester Rd, Suite 100, Wildwood, MO 63040 Phone: 636-458-0646 | |
Dr. Devin R Willis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16555 Manchester Rd Ste 100, Wildwood, MO 63040 Phone: 636-458-0646 Fax: 636-458-5008 | |
Dr. Brenda Gail Izen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2638 Highway 109 Ste 101, Wildwood, MO 63040 Phone: 636-821-2500 Fax: 636-821-2210 | |
Lisa C Burns, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16555 Manchester Rd, Suite 100, Wildwood, MO 63040 Phone: 636-458-0646 |