Tyler Richardson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kimberly, Idaho. His current practice location is
311 Main St S, Kimberly, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 423-4170.
Tyler Richardson is licensed to practice in Idaho (license number 8911064) 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 1386266708.
Healthcare Provider's Profile
| Full Name | Tyler Richardson |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 311 Main St S, Kimberly, Idaho |
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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: 1386266708
- Provider Enumeration Date: 05/07/2020
- Last Update Date: 05/22/2026
Medicare PECOS Information:
- PECOS PAC ID: 9234658253
- Enrollment ID: I20250522002099
Medical Identifiers
Medical identifiers for Tyler Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386266708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 8911064 (Idaho) | Primary |
| 104100000X | Social Worker | LMSW-42391 (Idaho) | Secondary |
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. Tyler Richardson allows following entities to bill medicare on his behalf.
| Entity Name | Centerpoint Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134458102
PECOS PAC ID: 1456754373
Enrollment ID: O20210729000324 |
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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. Tyler 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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Tyler Richardson, LCSW
311 Main St S,
Kimberly, ID 83341-2052
Ph: () - | Tyler Richardson, LCSW
311 Main St S,
Kimberly, ID 83341-2052
Ph: (208) 423-4170 |
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