Wendell L Richardson, MD is a medicare enrolled "Family Medicine" physician in Fairmont, North Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Med First Immediate Care And Family Practice Pa and his current practice location is
1212 S Walnut St, Fairmont, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 628-6711.
Wendell L Richardson is licensed to practice in North Carolina (license number 2006-01430) 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 1700953940.
Physician's Profile
| Full Name | Wendell L Richardson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 1212 S Walnut St, Fairmont, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wendell L Richardson attended and graduated from Medical University Of South Carolina College Of Medicine in 1999
NPI Data:
- NPI Number: 1700953940
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648374868
- Enrollment ID: I20070328000395
Medical Identifiers
Medical identifiers for Wendell L Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700953940 | NPI | - | NPPES |
| 144CA | Other | NC | BCBS OF NC |
| 5905736 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2006-01430 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Med First Immediate Care And Family Practice Pa | 0446332720 | 80 |
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. Wendell L Richardson allows following entities to bill medicare on his behalf.
| Entity Name | Med First Immediate Care & Family Practice Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053503763
PECOS PAC ID: 0446332720
Enrollment ID: O20080124000674 |
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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. Wendell L 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 |
|---|
Wendell L Richardson, MD
1212 S Walnut St,
Fairmont, NC 28340-1848
Ph: (910) 628-6711 | Wendell L Richardson, MD
1212 S Walnut St,
Fairmont, NC 28340-1848
Ph: (910) 628-6711 |
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