Tierra Shanel Richardson, in Bowie, MD - Medicare Nurse Practitioner

Tierra Shanel Richardson, is a medicare enrolled "Nurse Practitioner - Gerontology" in Bowie, Maryland. Her current practice location is 14300 Gallant Fox Ln, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 805-4348.

Tierra Shanel Richardson is licensed to practice in Maryland (license number R20340) 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 1740796945.

Contact Information

	Tierra Shanel Richardson,
	14300 Gallant Fox Ln, Bowie, MD 20715-4003
	(301) 805-4348
	Not Available

Map and Direction

Provider's Profile

Full Name	Tierra Shanel Richardson
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	14300 Gallant Fox Ln, Bowie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740796945
Provider Enumeration Date: 12/26/2017
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7012391691
Enrollment ID: I20220831000616

Medical Identifiers

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

Identifier	Type	State	Issuer
1740796945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R20340 (Maryland)	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. Tierra Shanel Richardson allows following entities to bill medicare on her behalf.

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415

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. Tierra Shanel 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
Tierra Shanel Richardson, 15616 Burford Ln, Upper Marlboro, MD 20774-8410 Ph: (240) 893-1510	Tierra Shanel Richardson, 14300 Gallant Fox Ln, Bowie, MD 20715-4003 Ph: (301) 805-4348

Reviews and Comments

Nurse Practitioner Nurses in Bowie, MD

Ms. Lawanis M Phillips, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14399 Gallant Fox Ln, Ste 222, Bowie, MD 20715 Phone: 301-262-7800
Obiageli Ogbodo, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 Laurel Bowie Rd Ste 209, Bowie, MD 20715 Phone: 240-206-8345
Olabisi Muyinat Oladipo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13206 Steeplechase Dr, Bowie, MD 20715 Phone: 240-413-9883
Dr. Rashaan Lamont Ballard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15459 Annapolis Rd, Bowie, MD 20715 Phone: 240-544-0676
Marie Binta Kanu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721 Phone: 240-460-5287
Mrs. Melinda Toussaint, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 703-402-7605
Mrs. Shavonne Marie Gumbs, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 High Bridge Rd, Bowie, MD 20720 Phone: 301-503-1490 Fax: 301-576-5197

Tierra Shanel Richardson, - Medicare Nurse Practitioner in Bowie, MD