Mr Bruce Coral Richardson, OTR/L in Eden, NC - Medicare Occupational Therapist Provider

Mr Bruce Coral Richardson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Eden, North Carolina. His current practice location is 272 Glenrobin Dr, Eden, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 589-8396.

Mr Bruce Coral Richardson is licensed to practice in North Carolina (license number 4607) 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 1033420732.

Contact Information

	Mr Bruce Coral Richardson, OTR/L
	272 Glenrobin Dr, Eden, NC 27288-8094
	(336) 589-8396
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Bruce Coral Richardson
Gender	Male
Speciality	Occupational Therapist
Location	272 Glenrobin Dr, Eden, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033420732
Provider Enumeration Date: 06/28/2010
Last Update Date: 06/28/2010

Medicare PECOS Information:

PECOS PAC ID: 6800269713
Enrollment ID: I20230223001746

Medical Identifiers

Medical identifiers for Mr Bruce Coral Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033420732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	4607 (North Carolina)	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. Mr Bruce Coral Richardson allows following entities to bill medicare on his behalf.

Provider Name	Paragon Outpatient Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895

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. Mr Bruce Coral 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
Mr Bruce Coral Richardson, OTR/L 272 Glenrobin Dr, Eden, NC 27288-8094 Ph: (336) 589-8396	Mr Bruce Coral Richardson, OTR/L 272 Glenrobin Dr, Eden, NC 27288-8094 Ph: (336) 589-8396

Reviews and Comments

Occupational Therapist in Eden, NC

Mrs. Erin Stowe Blackmon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9712
Trey Washington, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711
Mr. Jay Kelly, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9712
Erin Nicol, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9712
Larry Scott Maddy, OTR L CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 W Kings Hwy, Eden, NC 27288 Phone: 336-627-4263 Fax: 336-627-4266
Felicia Lewis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9712

Mr Bruce Coral Richardson, OTR/L - Medicare Occupational Therapist in Eden, NC