Gary Richmond, NP in Berkeley, CA - Medicare Nurse Practitioner

Gary Richmond, NP is a medicare enrolled "Nurse Practitioner - Family" in Berkeley, California. His current practice location is 1901 4th St, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (510) 929-1400.

Gary Richmond is licensed to practice in California (license number 95018937) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992469159.

Contact Information

	Gary Richmond, NP
	1901 4th St, Berkeley, CA 94710-1985
	(510) 929-1400
	(510) 929-1414

Map and Direction

Provider's Profile

Full Name	Gary Richmond
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1901 4th St, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992469159
Provider Enumeration Date: 10/25/2021
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0143691527
Enrollment ID: I20230123000775

Medical Identifiers

Medical identifiers for Gary Richmond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992469159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95018937 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95018937 (California)	Primary

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. Gary Richmond allows following entities to bill medicare on his behalf.

Entity Name	Pine Park Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346879848 PECOS PAC ID: 0345670527 Enrollment ID: O20200501001068

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. Gary Richmond 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
Gary Richmond, NP Po Box 511250, Los Angeles, CA 90051-7805 Ph: (510) 929-1400	Gary Richmond, NP 1901 4th St, Berkeley, CA 94710-1985 Ph: (510) 929-1400

Reviews and Comments

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Gary Richmond, NP - Medicare Nurse Practitioner in Berkeley, CA