Travis Richardson, NP in Port Huron, MI - Medicare Nurse Practitioner

Travis Richardson, NP is a medicare enrolled "Nurse Practitioner - Family" in Port Huron, Michigan. His current practice location is 2603 Electric Ave, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 987-1000.

Travis Richardson is licensed to practice in Michigan (license number 4704307930) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821711839.

Contact Information

	Travis Richardson, NP
	2603 Electric Ave, Port Huron, MI 48060-6588
	(810) 987-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis Richardson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2603 Electric Ave, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821711839
Provider Enumeration Date: 09/23/2022
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9436511664
Enrollment ID: I20230818002499

Medical Identifiers

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

Identifier	Type	State	Issuer
1821711839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704307930 (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. Travis Richardson allows following entities to bill medicare on his behalf.

Entity Name	Port Huron Internal Medicine Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528252251 PECOS PAC ID: 2567497910 Enrollment ID: O20051004000919

Entity Name	Wellstreet Urgent Care Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578048096 PECOS PAC ID: 6305188491 Enrollment ID: O20190610002007

Entity Name	Blue Water Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477135036 PECOS PAC ID: 8123427895 Enrollment ID: O20210528002212

Entity Name	Above & Beyond Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255013553 PECOS PAC ID: 3375992357 Enrollment ID: O20231215002608

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. Travis 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
Travis Richardson, NP 3775 Pollina Ave, Fort Gratiot, MI 48059-4140 Ph: () -	Travis Richardson, NP 2603 Electric Ave, Port Huron, MI 48060-6588 Ph: (810) 987-1000

Reviews and Comments

Nurse Practitioner Nurses in Port Huron, MI

Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000
Justine Schrader, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120

Travis Richardson, NP - Medicare Nurse Practitioner in Port Huron, MI