Shelly Richardson, is a medicare enrolled "Clinic/center - Adolescent And Children Mental Health" provider in Hallsville, Texas. Her current practice location is
1916 Mont Hall Rd, Hallsville, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 452-3454.
Shelly Richardson is licensed to practice in Texas (license number 18292) 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 1891531315.
Healthcare Provider's Profile
| Full Name | Shelly Richardson |
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| Gender | Female |
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| Speciality | Clinic/center - Adolescent And Children Mental Health |
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| Location | 1916 Mont Hall Rd, Hallsville, Texas |
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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: 1891531315
- Provider Enumeration Date: 07/03/2024
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426568593
- Enrollment ID: I20250609000177
Medical Identifiers
Medical identifiers for Shelly Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891531315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 18292 (Texas) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Texas) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 18292 (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. Shelly Richardson allows following entities to bill medicare on her behalf.
| Entity Name | Oak Bridge Counseling, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407533417
PECOS PAC ID: 5698290328
Enrollment ID: O20250415004040 |
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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. Shelly 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 |
|---|
Shelly Richardson,
1916 Mont Hall Rd,
Hallsville, TX 75650-4424
Ph: (903) 452-3454 | Shelly Richardson,
1916 Mont Hall Rd,
Hallsville, TX 75650-4424
Ph: (903) 452-3454 |
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