Shetara Richardson, CAADC, LCSW - Medicare Counselor in Philadelphia, PA

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Shetara Richardson, CAADC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Philadelphia, Pennsylvania. She graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Osh - Pa Physicians Group, Pc and her current practice location is 2311 Cottman Ave Ste 71, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 444-7505.

Shetara Richardson is licensed to practice in Pennsylvania (license number CW023741) 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 1285313957.

Contact Information

Shetara Richardson, CAADC, LCSW
2311 Cottman Ave Ste 71,
Philadelphia, PA 19149-1007
(215) 444-7505
(215) 695-2919

Map and Direction


Healthcare Provider's Profile

Full NameShetara Richardson
GenderFemale
SpecialityClinical Social Worker
Experience6 Years
Location2311 Cottman Ave Ste 71, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shetara Richardson graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1285313957
  • Provider Enumeration Date: 07/11/2023
  • Last Update Date: 04/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305209958
  • Enrollment ID: I20230829003999

Medical Identifiers

Medical identifiers for Shetara Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285313957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CW023741 (Pennsylvania)Secondary
1041C0700XSocial Worker - Clinical CW023741 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osh - Pa Physicians Group, Pc7517213879101

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. Shetara Richardson allows following entities to bill medicare on her behalf.
Entity NameCleanslate Medical Group Of Pennsylvania Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184177263
PECOS PAC ID: 8426334400
Enrollment ID: O20170405000660
Entity NameOsh - Pa Physicians Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811405533
PECOS PAC ID: 7517213879
Enrollment ID: O20180629000414

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. Shetara 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 AddressPractice Location Address
Shetara Richardson, CAADC, LCSW
Po Box 746722,
Atlanta, GA 30374-6722

Ph: (312) 733-9730		Shetara Richardson, CAADC, LCSW
2311 Cottman Ave Ste 71,
Philadelphia, PA 19149-1007

Ph: (215) 444-7505

Reviews and Comments


Social Worker in Philadelphia, PA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.