Jacqulyn Richardson, - Medicare Nurse Practitioner in Pontiac, MI

  1. Home
  2. Nurse Practitioner
  3. MI
  4. Pontiac
Jacqulyn Richardson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pontiac, Michigan. Her current practice location is 1200 N Telegraph Rd, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 456-8150.

Jacqulyn Richardson is licensed to practice in Michigan (license number 4704297693) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285092445.

Contact Information

Jacqulyn Richardson,
1200 N Telegraph Rd,
Pontiac, MI 48341-1032
(248) 456-8150
Not Available

Map and Direction




Provider's Profile

Full NameJacqulyn Richardson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1200 N Telegraph Rd, Pontiac, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285092445
  • Provider Enumeration Date: 02/03/2016
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244695963
  • Enrollment ID: I20230503000572

Medical Identifiers

Medical identifiers for Jacqulyn Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285092445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704297693 (Michigan)Primary
163W00000XRegistered Nurse 4704297693 (Michigan)Secondary

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. Jacqulyn Richardson allows following entities to bill medicare on her behalf.
Entity NameCounty Of Macomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942532197
PECOS PAC ID: 4880581404
Enrollment ID: O20040301000018
Entity NameAlternative Community Living Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114131729
PECOS PAC ID: 6608864350
Enrollment ID: O20040503001021
Entity NameHope Network West Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679558670
PECOS PAC ID: 5395837603
Enrollment ID: O20070816000328
Entity NameHope Network Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043295934
PECOS PAC ID: 9537251756
Enrollment ID: O20070817000312
Entity NameHope Network S E
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609859537
PECOS PAC ID: 8628159936
Enrollment ID: O20080112000036
Entity NameSeniors Wellness Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568419240
PECOS PAC ID: 1951202357
Enrollment ID: O20080725000368
Entity NameHope Network - Rehabilitation Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528043544
PECOS PAC ID: 9234231440
Enrollment ID: O20090316000098

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. Jacqulyn 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 AddressPractice Location Address
Jacqulyn Richardson,
1200 N Telegraph Rd,
Pontiac, MI 48341-1032

Ph: (248) 456-8150		Jacqulyn Richardson,
1200 N Telegraph Rd,
Pontiac, MI 48341-1032

Ph: (248) 456-8150

Reviews and Comments


Nurse Practitioner Nurses in Pontiac, MI

Marilyn Chandross, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-3700    
Carol D Wilkinson, APRN, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-6954    Fax: 248-858-3067
Mrs. Dorothy Helen Rodriguez, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 50 N Perry St, Pontiac, MI 48342
Phone: 248-338-5210    Fax: 248-338-5584
Cristiana Gherasim, DNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340
Phone: 248-977-3758    
Elsina John,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341
Phone: 248-605-3502    
Ms. Carly Lynn Kassa,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 50 N Perry St, Pontiac, MI 48342
Phone: 248-338-5645    Fax: 248-338-5547
Ariola Cacaj Dixon, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341
Phone: 248-234-7540    Fax: 248-581-8716

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.