Devan Richardson, DPT in Tupelo, MS - Medicare Physical Therapy Provider

Devan Richardson, DPT is a medicare enrolled "Physical Therapist" provider in Tupelo, Mississippi. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ford Physical Therapy Pllc and his current practice location is 2633 Traceland Dr, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 554-9699.

Devan Richardson is licensed to practice in Mississippi (license number PT6740) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174165500.

Contact Information

	Devan Richardson, DPT
	2633 Traceland Dr, Tupelo, MS 38801-4238
	(662) 554-9699
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Devan Richardson
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	2633 Traceland Dr, Tupelo, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Devan Richardson graduated from medical school in 2019

NPI Data:

NPI Number: 1174165500
Provider Enumeration Date: 10/17/2019
Last Update Date: 10/17/2019

Medicare PECOS Information:

PECOS PAC ID: 6608288923
Enrollment ID: I20201210001164

Medical Identifiers

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

Identifier	Type	State	Issuer
1174165500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6740 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ford Physical Therapy Pllc	0941569024	3

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. Devan Richardson allows following entities to bill medicare on his behalf.

Provider Name	Ford Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417462862 PECOS PAC ID: 0941569024 Enrollment ID: O20180118000050

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. Devan 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
Devan Richardson, DPT 2633 Traceland Dr, Tupelo, MS 38801-4238 Ph: (662) 554-9699	Devan Richardson, DPT 2633 Traceland Dr, Tupelo, MS 38801-4238 Ph: (662) 554-9699

Reviews and Comments

Physical Therapist in Tupelo, MS

Tupelo Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1743 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-680-5216
Molly Bryan Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 Merritt Dr, Tupelo, MS 38801 Phone: 785-826-6134
John Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4058
Jennifer L Rodabough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Southridge Dr, Tupelo, MS 38801 Phone: 662-407-0801 Fax: 662-407-0807
Lisa Ross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100
Mr. Mark Chapin Bresee, MPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100 Fax: 662-842-2105
Michael Scott Childers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523 Fax: 662-432-1528

Devan Richardson, DPT - Medicare Physical Therapist in Tupelo, MS