Mrs Chelsea Marie Richard, APRN is a medicare enrolled "Nurse Practitioner - Family" in Cottondale, Florida. Her current practice location is
3060 Aycock Rd, Cottondale, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 849-7933.
Mrs Chelsea Marie Richard is licensed to practice in Florida (license number 11033780) 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 1487490934.
Provider's Profile
| Full Name | Mrs Chelsea Marie Richard |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3060 Aycock Rd, Cottondale, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487490934
- Provider Enumeration Date: 07/03/2024
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002340833
- Enrollment ID: I20241115000268
Medical Identifiers
Medical identifiers for Mrs Chelsea Marie Richard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487490934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11033780 (Florida) | 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. Mrs Chelsea Marie Richard allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002247 |
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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. Mrs Chelsea Marie Richard 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 |
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Mrs Chelsea Marie Richard, APRN
3060 Aycock Rd,
Cottondale, FL 32431-7104
Ph: (850) 849-7933 | Mrs Chelsea Marie Richard, APRN
3060 Aycock Rd,
Cottondale, FL 32431-7104
Ph: (850) 849-7933 |
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