Melanie Richardson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kaysville, Utah. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Psychological Preventative Health Pllc and her current practice location is
1188 W Sportsplex Dr Ste 203, Kaysville, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 719-7737.
Melanie Richardson is licensed to practice in Utah (license number 117243-3501) 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 1013328103.
Healthcare Provider's Profile
| Full Name | Melanie Richardson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 1188 W Sportsplex Dr Ste 203, Kaysville, Utah |
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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. |
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Medical Education and Training:
- Melanie Richardson graduated from medical school in 2013
NPI Data:
- NPI Number: 1013328103
- Provider Enumeration Date: 05/12/2014
- Last Update Date: 02/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961777438
- Enrollment ID: I20200926000072
Medical Identifiers
Medical identifiers for Melanie Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013328103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LCSW-36133 (Idaho) | Secondary |
| 104100000X | Social Worker | LMSW-33744 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-36133 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 117243-3501 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Psychological Preventative Health Pllc | 8820414600 | 11 |
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. Melanie Richardson allows following entities to bill medicare on her behalf.
| Entity Name | Psychological Preventative Health Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649808767
PECOS PAC ID: 8820414600
Enrollment ID: O20200926000071 |
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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. Melanie 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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Melanie Richardson, LCSW
2184 Channing Way # 157,
Idaho Falls, ID 83404-8034
Ph: (801) 719-7737 | Melanie Richardson, LCSW
1188 W Sportsplex Dr Ste 203,
Kaysville, UT 84037-6817
Ph: (801) 719-7737 |
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