Cullen Brody Richardson, DPT in Olive Branch, MS - Medicare Physical Therapist Provider

Cullen Brody Richardson, DPT is a medicare enrolled "Physical Therapist" provider in Olive Branch, Mississippi. His current practice location is 5036 Goodman Rd, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 856-2989.

Cullen Brody Richardson is licensed to practice in Mississippi (license number PT6840) 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 1255963534.

Contact Information

	Cullen Brody Richardson, DPT
	5036 Goodman Rd, Olive Branch, MS 38654-7966
	(662) 856-2989
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cullen Brody Richardson
Gender	Male
Speciality	Physical Therapist
Location	5036 Goodman Rd, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255963534
Provider Enumeration Date: 02/05/2020
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 0749617058
Enrollment ID: I20200226002581

Medical Identifiers

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

Identifier	Type	State	Issuer
1255963534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6840 (Mississippi)	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. Cullen Brody Richardson allows following entities to bill medicare on his behalf.

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

Provider Name	Endurance Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1124538863 PECOS PAC ID: 8325306228 Enrollment ID: O20180205002547

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1477224814 PECOS PAC ID: 4789602681 Enrollment ID: O20211115001046

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. Cullen Brody 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
Cullen Brody Richardson, DPT 171 Lakewood Dr Ste 2, Batesville, MS 38606-3017 Ph: (662) 563-2579	Cullen Brody Richardson, DPT 5036 Goodman Rd, Olive Branch, MS 38654-7966 Ph: (662) 856-2989

Reviews and Comments

Physical Therapist in Olive Branch, MS

Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891
Exos Physical Therapy & Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 205-259-3991
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759
Holly Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176

Cullen Brody Richardson, DPT - Medicare Physical Therapist in Olive Branch, MS