Mackenzie Richardson, APRN, FNP-BC in Charleston, WV

Mackenzie Richardson, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Charleston, West Virginia. Her current practice location is 4619 Kanawha Ave Sw, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 400-4545.

Mackenzie Richardson is licensed to practice in West Virginia (license number 117273) 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 1407621543.

Contact Information

	Mackenzie Richardson, APRN, FNP-BC
	4619 Kanawha Ave Sw, Charleston, WV 25309-1319
	(304) 400-4545
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Richardson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4619 Kanawha Ave Sw, Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407621543
Provider Enumeration Date: 11/20/2023
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9830540350
Enrollment ID: I20240109004422

Medical Identifiers

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

Identifier	Type	State	Issuer
1407621543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	117273 (West Virginia)	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. Mackenzie Richardson allows following entities to bill medicare on her behalf.

Entity Name	Ths Physician Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738

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. Mackenzie 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
Mackenzie Richardson, APRN, FNP-BC 4619 Kanawha Ave Sw, Charleston, WV 25309-1319 Ph: () -	Mackenzie Richardson, APRN, FNP-BC 4619 Kanawha Ave Sw, Charleston, WV 25309-1319 Ph: (304) 400-4545

Reviews and Comments

Nurse Practitioner Nurses in Charleston, WV

Stephanie Lynn Legg, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2345 Chesterfield Ave Ste 302, Charleston, WV 25304 Phone: 681-205-8610 Fax: 681-205-8615
Ms. Brenda Lou Keefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-3436
Brenda Moody Walker, RN,MSN,CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4407 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-0392 Fax: 304-825-0392
Janice K Kaufman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave, Suite 709, Charleston, WV 25304 Phone: 304-342-1184 Fax: 304-343-8487
Mrs. Cari Stover, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4307 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-205-6123
Mrs. Carolyn Sue Green, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Washington St W, Charleston, WV 25302 Phone: 304-344-9834 Fax: 304-344-1756
Shawnna D. Walker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Outpatient Care Center (rwp), Charleston, WV 25304 Phone: 304-388-9677 Fax: 304-388-8238

Mackenzie Richardson, APRN, FNP-BC - Medicare Nurse Practitioner in Charleston, WV