Dr Reginald Charles Richardson Sr, PHD in Evanston, IL

Dr Reginald Charles Richardson Sr, PHD is a medicare enrolled "Social Worker - Clinical" provider in Evanston, Illinois. His current practice location is 618 Library Pl, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 733-4300.

Dr Reginald Charles Richardson Sr is licensed to practice in Illinois (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 1508904962.

Contact Information

	Dr Reginald Charles Richardson Sr, PHD
	618 Library Pl, Evanston, IL 60201-2908
	(847) 733-4300
	(847) 733-0390

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Reginald Charles Richardson Sr
Gender	Male
Speciality	Social Worker - Clinical
Location	618 Library Pl, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508904962
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1759431398
Enrollment ID: I20090602000648

Medical Identifiers

Medical identifiers for Dr Reginald Charles Richardson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508904962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(Illinois)	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 Reginald Charles Richardson Sr allows following entities to bill medicare on his behalf.

Entity Name	Tides Mental Health Of Il, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154014116 PECOS PAC ID: 4789044884 Enrollment ID: O20230720004147

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 Reginald Charles Richardson Sr 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 Reginald Charles Richardson Sr, PHD 618 Library Pl, Evanston, IL 60201-2908 Ph: (847) 733-4300	Dr Reginald Charles Richardson Sr, PHD 618 Library Pl, Evanston, IL 60201-2908 Ph: (847) 733-4300

Reviews and Comments

Social Worker in Evanston, IL

Tabitha Ledbetter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-6262 Fax: 847-316-2214
Kathleen Ann Valadez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-3703
Kathleen A. Bogie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2143 Lincolnwood Dr, Evanston, IL 60201 Phone: 224-392-5467
Gabrielle Celia Stern, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 207, Evanston, IL 60201 Phone: 847-732-5305
Susan Burkhardt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 Mulford St, Evanston, IL 60202 Phone: 847-328-8207
Ellen Kenemore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Suite 227, Evanston, IL 60201 Phone: 847-491-0080 Fax: 847-251-1266
Nora Josephine Walsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Church St Ste 507, Evanston, IL 60201 Phone: 847-409-6288

Dr Reginald Charles Richardson Sr, PHD - Medicare Clinical Social Worker in Evanston, IL