Tyrun Keith Richardson, MD in Springfield, MO

Tyrun Keith Richardson, MD is a medicare enrolled "Urology" physician in Springfield, Missouri. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1983 and has 41 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 1965 S Fremont Ave, Ste 370, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-0300.

Tyrun Keith Richardson is licensed to practice in Missouri (license number 2016012292) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205834074.

Contact Information

	Tyrun Keith Richardson, MD
	1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201
	(417) 820-0300
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyrun Keith Richardson
Gender	Male
Speciality	Urology
Experience	41 Years
Location	1965 S Fremont Ave, Springfield, 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.

Medical Education and Training:

Tyrun Keith Richardson attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1983

NPI Data:

NPI Number: 1205834074
Provider Enumeration Date: 07/14/2005
Last Update Date: 06/16/2016

Medicare PECOS Information:

PECOS PAC ID: 2668407115
Enrollment ID: I20051004000130

Medical Identifiers

Medical identifiers for Tyrun Keith Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205834074	NPI	-	NPPES
PENDING	Medicaid	MO
PENDING	Medicaid	AR
200456750H	Medicaid	OK
200566690A	Medicaid	OK
200615150A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	04-33531 (Kansas)	Secondary
208800000X	Urology	31026 (Oklahoma)	Secondary
208800000X	Urology	2016012292 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	933

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. Tyrun Keith Richardson allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

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. Tyrun Keith 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
Tyrun Keith Richardson, MD Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620	Tyrun Keith Richardson, MD 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 Ph: (417) 820-0300

Reviews and Comments

Urology Doctors in Springfield, MO

Jennifer A Malossi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3381 Fax: 417-875-3690
Robert Clayton Scanlon Ii, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000
Dr. Eric P. Guilliams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 370, Springfield, MO 65804 Phone: 417-882-0300 Fax: 417-882-9645
Dr. Barry S Farber, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3850 S National Ave, Suite 320, Springfield, MO 65807 Phone: 417-269-6944 Fax: 417-269-6947
Dr. Mark J. Walterskirchen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 370, Springfield, MO 65804 Phone: 417-820-0300 Fax: 417-882-9645
Howard W Follis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3690

Tyrun Keith Richardson, MD - Medicare Urology in Springfield, MO