Traci L Richardson, DPT is a medicare enrolled "Physical Therapist" provider in Boalsburg, Pennsylvania. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is
1146 Karen St, Boalsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 441-9183.
Traci L Richardson is licensed to practice in Pennsylvania (license number PT016580) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972504769.
Healthcare Provider's Profile
Full Name | Traci L Richardson |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 21 Years |
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Location | 1146 Karen St, Boalsburg, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Traci L Richardson graduated from medical school in 2003
NPI Data:
- NPI Number: 1972504769
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557341377
- Enrollment ID: I20040722000733
Medical Identifiers
Medical identifiers for Traci L Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972504769 | NPI | - | NPPES |
1011155610005 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT016580 (Pennsylvania) | 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. Traci L Richardson allows following entities to bill medicare on her behalf.
Provider Name | Positive Performance Physical Therapy 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: 1619680105 PECOS PAC ID: 3375909070 Enrollment ID: O20230523002163 |
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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. Traci L 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 |
Traci L Richardson, DPT Po Box 218, Boalsburg, PA 16827-0218 Ph: (814) 441-9183 | Traci L Richardson, DPT 1146 Karen St, Boalsburg, PA 16827-1642 Ph: (814) 441-9183 |
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