Michael Blake Richardson, MD, DPT is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in North Little Rock, Arkansas. His current practice location is
3201 Springhill Dr Ste 300, North Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 753-4132.
Michael Blake Richardson is licensed to practice in * (Not Available) (license number ) 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 1114474723.
Healthcare Provider's Profile
Full Name | Michael Blake Richardson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3201 Springhill Dr Ste 300, North Little Rock, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114474723
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 05/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254619547
- Enrollment ID: I20210525003026
Medical Identifiers
Medical identifiers for Michael Blake Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114474723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT4227 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Michael Blake 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 |
Michael Blake Richardson, MD, DPT 2185 Sugar Creek Dr, Conway, AR 72034-9603 Ph: (870) 250-0183 | Michael Blake Richardson, MD, DPT 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 Ph: (501) 753-4132 |
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