Missy Lanett Richardson, NP | |
Fm 2185 And Eisenhower Rd, Van Horn, TX 79855 | |
(432) 283-2760 | |
(432) 283-8125 |
Full Name | Missy Lanett Richardson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | Fm 2185 And Eisenhower Rd, Van Horn, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568653525 | NPI | - | NPPES |
31129374 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP-02441 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP115962 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Culberson Hospital | Van horn, TX | Hospital |
Carlsbad Medical Center | Carlsbad, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pecos Valley Of New Mexico Llc | 2466359781 | 28 |
Entity Name | Pecos Valley Of New Mexico Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972569820 PECOS PAC ID: 2466359781 Enrollment ID: O20031216000086 |
Entity Name | Island Medical Loe Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457636706 PECOS PAC ID: 3274700323 Enrollment ID: O20120113000095 |
Entity Name | Island Medical Hospitalist Carlsbad Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144697129 PECOS PAC ID: 8325358039 Enrollment ID: O20151110000340 |
Entity Name | Island Medical Hospitalist Lea Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215307194 PECOS PAC ID: 8527368943 Enrollment ID: O20151207002531 |
Entity Name | Carlsbad Vein And Vascular Center Of New Mexico |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417600230 PECOS PAC ID: 5294120697 Enrollment ID: O20220322001904 |
Entity Name | Nes Arizona Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285163121 PECOS PAC ID: 2163737206 Enrollment ID: O20230803001059 |
Mailing Address | Practice Location Address |
---|---|
Missy Lanett Richardson, NP Po Box 609, Van Horn, TX 79855-0609 Ph: (432) 283-2760 | Missy Lanett Richardson, NP Fm 2185 And Eisenhower Rd, Van Horn, TX 79855 Ph: (432) 283-2760 |