Scott Burgess Richards, MD | |
4500 W Midway Rd, Fort Pierce, FL 34981-4823 | |
(772) 468-5600 | |
Not Available |
Full Name | Scott Burgess Richards |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4500 W Midway Rd, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619025681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 28769 (West Virginia) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME119787 (Florida) | Primary |
Entity Name | Pocatello Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
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Scott Burgess Richards, MD 1807 Mariner Bay Blvd, Fort Pierce, FL 34949-3628 Ph: (760) 505-6760 | Scott Burgess Richards, MD 4500 W Midway Rd, Fort Pierce, FL 34981-4823 Ph: (772) 468-5600 |
Dr. Bih Bikelle, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 678-941-6191 | |
Leah N. Evangelista, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 Fax: 772-468-4077 | |
Dr. Richard Charles Callison Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2402 Frist Blvd Ste 201, Fort Pierce, FL 34950 Phone: 772-460-8838 Fax: 772-460-8808 | |
Dr. Alan Ray Tesson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-467-3097 Fax: 772-467-4166 | |
Sureshchandra N. Desai, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 | |
Dr. Kathie Kowalczyk, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950 Phone: 772-595-5302 |