Kristin Richardson, is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Fountain, Colorado. Her current practice location is
901 N Santa Fe Ave, Fountain, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 822-0550.
Kristin Richardson is licensed to practice in Colorado (license number PTL.0017685) 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 1548831795.
Healthcare Provider's Profile
| Full Name | Kristin Richardson |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 901 N Santa Fe Ave, Fountain, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548831795
- Provider Enumeration Date: 07/08/2021
- Last Update Date: 12/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729432307
- Enrollment ID: I20230930000652
Medical Identifiers
Medical identifiers for Kristin Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548831795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | PTL.0017685 (Colorado) | 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. Kristin Richardson allows following entities to bill medicare on her behalf.
| Provider Name | Ideal Physical Therapy Of Texas Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1538573746
PECOS PAC ID: 0547583809
Enrollment ID: O20141218000890 |
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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. Kristin 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 |
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Kristin Richardson,
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: () - | Kristin Richardson,
901 N Santa Fe Ave,
Fountain, CO 80817-1738
Ph: (719) 822-0550 |
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