Mark Richardson, FNP-C in Phoenix, AZ - Medicare Nurse Practitioner

Mark Richardson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and his current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1200.

Mark Richardson is licensed to practice in Arizona (license number AP8131) 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 1215305933.

Contact Information

	Mark Richardson, FNP-C
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark Richardson
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	4212 N 16th St, Phoenix, Arizona
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:

Mark Richardson graduated from nursing school in 2015

NPI Data:

NPI Number: 1215305933
Provider Enumeration Date: 09/11/2015
Last Update Date: 04/11/2019

Medicare PECOS Information:

PECOS PAC ID: 1850609942
Enrollment ID: I20161221001516

Medical Identifiers

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

Identifier	Type	State	Issuer
1215305933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP8131 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phoenix Indian Medical Center	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm	1759290901	182

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. Mark Richardson allows following entities to bill medicare on his behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

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. Mark 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
Mark Richardson, FNP-C Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1200	Mark Richardson, FNP-C 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200

Reviews and Comments

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Mark Richardson, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ