Shetara Richardson, CAADC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ambler, Pennsylvania. She graduated from healthcare school in 2019 and has 7 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, Che Senior Care Therapy Services, Pc and her current practice location is
722 E Butler Pike, Ambler, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 643-7800.
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.
Healthcare Provider's Profile
| Full Name | Shetara Richardson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 722 E Butler Pike, Ambler, Pennsylvania |
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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. |
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: 06/23/2026
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.
| Identifier | Type | State | Issuer |
| 1285313957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CW023741 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW023741 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Osh - Pa Physicians Group, Pc | 7517213879 | 113 |
| Che Senior Care Therapy Services, Pc | 8123269149 | 23 |
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 Name | Che Senior Care Therapy Services, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144666496 PECOS PAC ID: 8123269149 Enrollment ID: O20130802000053 |
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| Entity Name | Osh - PA Physicians Group, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414 |
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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. 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 Address | Practice Location Address |
Shetara Richardson, CAADC, LCSW 2901 Welsh Rd, Philadelphia, PA 19152-1659 Ph: Not Available | Shetara Richardson, CAADC, LCSW 722 E Butler Pike, Ambler, PA 19002-2310 Ph: (215) 643-7800 |
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