Ms Jiajoyce Renee Richardson, CRNP in Harrisburg, PA

Ms Jiajoyce Renee Richardson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Harrisburg, Pennsylvania. Her current practice location is 4518 Union Deposit Rd, Harrisburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 526-1030.

Ms Jiajoyce Renee Richardson is licensed to practice in Pennsylvania (license number SP009284) 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 1053449504.

Contact Information

	Ms Jiajoyce Renee Richardson, CRNP
	4518 Union Deposit Rd, Harrisburg, PA 17111-2921
	(717) 526-1030
	(717) 741-9605

Map and Direction

Provider's Profile

Full Name	Ms Jiajoyce Renee Richardson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4518 Union Deposit Rd, Harrisburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053449504
Provider Enumeration Date: 02/28/2007
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4880799493
Enrollment ID: I20080613000387

Medical Identifiers

Medical identifiers for Ms Jiajoyce Renee Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053449504	NPI	-	NPPES
102130992-0001	Medicaid	PA
50078124	Other	PA	BLUE CROSS INDIVIDUAL
125050E7M	Other	PA	MEDICARE IND
893477-01	Other	MD	BLUE CROSS/BLUE SHIELD
4123778-00	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP009284 (Pennsylvania)	Primary
363LF0000X	Nurse Practitioner - Family	R149858 (Maryland)	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. Ms Jiajoyce Renee Richardson allows following entities to bill medicare on her behalf.

Entity Name	Cancer Care Associates Of York, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578587101 PECOS PAC ID: 1456336726 Enrollment ID: O20040621001548

Entity Name	Penn State Health Community Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279

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. Ms Jiajoyce Renee 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
Ms Jiajoyce Renee Richardson, CRNP 4518 Union Deposit Rd, Harrisburg, PA 17111-2921 Ph: (717) 526-1030	Ms Jiajoyce Renee Richardson, CRNP 4518 Union Deposit Rd, Harrisburg, PA 17111-2921 Ph: (717) 526-1030

Reviews and Comments

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Ms Jiajoyce Renee Richardson, CRNP - Medicare Nurse Practitioner in Harrisburg, PA