Raven Richardson, FNP - Medicare Nurse Practitioner in Hazel Park, MI

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Raven Richardson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hazel Park, Michigan. Her current practice location is 624 E 9 Mile Rd, Hazel Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 629-7497.

Raven Richardson is licensed to practice in Michigan (license number 4704322492) 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 1083375380.

Contact Information

Raven Richardson, FNP
624 E 9 Mile Rd,
Hazel Park, MI 48030-1842
(248) 629-7497
Not Available

Map and Direction




Provider's Profile

Full NameRaven Richardson
GenderFemale
SpecialityNurse Practitioner - Family
Location624 E 9 Mile Rd, Hazel Park, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083375380
  • Provider Enumeration Date: 01/07/2022
  • Last Update Date: 07/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133578578
  • Enrollment ID: I20231212000246

Medical Identifiers

Medical identifiers for Raven Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083375380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704322492 (Michigan)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. Raven Richardson allows following entities to bill medicare on her behalf.
Entity NameDearborn Pain Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174995203
PECOS PAC ID: 7012216732
Enrollment ID: O20160502002182
Entity NameHazel Park Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306407440
PECOS PAC ID: 2961731997
Enrollment ID: O20190917000580
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855

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. Raven 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 AddressPractice Location Address
Raven Richardson, FNP
624 E 9 Mile Rd,
Hazel Park, MI 48030-1842

Ph: () -		Raven Richardson, FNP
624 E 9 Mile Rd,
Hazel Park, MI 48030-1842

Ph: (248) 629-7497

Reviews and Comments


Nurse Practitioner Nurses in Hazel Park, MI

Mrs. Mary Clarissa R Salvaggio, NP
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Practice Location: 24013 Vance Ave, Hazel Park, MI 48030
Phone: 248-860-1754    
Caroline Pale, MSN, AGPCNP
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Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030
Phone: 248-541-7606    
Jennifer Syeda, NP
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Medicare: Medicare Enrolled
Practice Location: 624 E 9 Mile Rd, Hazel Park, MI 48030
Phone: 248-629-7497    
Mrs. Jennifer D Washington, FNP
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Medicare: Medicare Enrolled
Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030
Phone: 248-541-7606    
Shirlene Morgan, FNP-C
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Practice Location: 1142 E 9 Mile Rd, Hazel Park, MI 48030
Phone: 248-817-4742    
Malath Shamoon, FNP
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Medicare: Medicare Enrolled
Practice Location: 23411 John R Rd, Hazel Park, MI 48030
Phone: 248-399-8331    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.