Dr Carol Lacey Richardson, PHD in Fort Worth, TX - Medicare Psychologist Provider

Dr Carol Lacey Richardson, PHD is a medicare enrolled "Psychologist" provider in Fort Worth, Texas. Her current practice location is 4316 Lake Stone Trl, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 542-2595.

Dr Carol Lacey Richardson is licensed to practice in Texas (license number 35034) 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 1780950436.

Contact Information

	Dr Carol Lacey Richardson, PHD
	4316 Lake Stone Trl, Fort Worth, TX 76123-8009
	(817) 542-2595
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carol Lacey Richardson
Gender	Female
Speciality	Psychologist
Location	4316 Lake Stone Trl, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780950436
Provider Enumeration Date: 03/27/2012
Last Update Date: 03/27/2012

Medicare PECOS Information:

PECOS PAC ID: 8628232030
Enrollment ID: I20120615000251

Medical Identifiers

Medical identifiers for Dr Carol Lacey Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780950436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	35034 (Texas)	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. Dr Carol Lacey Richardson allows following entities to bill medicare on her behalf.

Entity Name	Center For Psychological Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447501259 PECOS PAC ID: 1951551076 Enrollment ID: O20121026000388

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. Dr Carol Lacey 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
Dr Carol Lacey Richardson, PHD 4316 Lake Stone Trl, Fort Worth, TX 76123-8009 Ph: (817) 542-2595	Dr Carol Lacey Richardson, PHD 4316 Lake Stone Trl, Fort Worth, TX 76123-8009 Ph: (817) 542-2595

Reviews and Comments

Psychologist in Fort Worth, TX

Dr. Cortney B Wolfe-christensen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 8th Ave Fl 6, Fort Worth, TX 76104 Phone: 682-303-0376 Fax: 682-303-0377
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Dr. Woody Cal Childress, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5658 Westcreek Dr Ste 400, Fort Worth, TX 76133 Phone: 817-731-2468
Saul Rodriguez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4545 Bellaire Dr S Ste 6, Fort Worth, TX 76109 Phone: 817-657-1115
Khalid Rashdan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Saint Juliet St, 2212, Fort Worth, TX 76107 Phone: 817-583-2485
Dr. Nichelle E. Wiggins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3804 E Lancaster Ave, Fort Worth, TX 76103 Phone: 817-744-8355 Fax: 817-744-8356
Victoria M Mccain, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1516 Cooper St, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600

Dr Carol Lacey Richardson, PHD - Medicare Psychologist in Fort Worth, TX