Jacquelyn Carole Richards, in Sanford, ME - Medicare Dentist Provider

Jacquelyn Carole Richards, is a medicare enrolled "Dentist" provider in Sanford, Maine. Her current practice location is 2 Stilson St, Sanford, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 324-8699.

Jacquelyn Carole Richards is licensed to practice in Maine (license number DEN5046) 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 1225779663.

Contact Information

	Jacquelyn Carole Richards,
	2 Stilson St, Sanford, ME 04073-3228
	(207) 324-8699
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Carole Richards
Gender	Female
Speciality	Dentist
Location	2 Stilson St, Sanford, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225779663
Provider Enumeration Date: 04/06/2022
Last Update Date: 09/08/2025

Medicare PECOS Information:

PECOS PAC ID: 4183006281
Enrollment ID: I20220805002938

Medical Identifiers

Medical identifiers for Jacquelyn Carole Richards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225779663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN5046 (Maine)	Primary
1223G0001X	Dentist - General Practice	50255 (New Hampshire)	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. Jacquelyn Carole Richards allows following entities to bill medicare on her behalf.

Entity Name	Harbor Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659330496 PECOS PAC ID: 0345146213 Enrollment ID: O20120419000209

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. Jacquelyn Carole Richards 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
Jacquelyn Carole Richards, 134 Middle St Unit 5, Portsmouth, NH 03801-4354 Ph: (207) 975-6068	Jacquelyn Carole Richards, 2 Stilson St, Sanford, ME 04073-3228 Ph: (207) 324-8699

Reviews and Comments

Dentist in Sanford, ME

Megan Jean Lucier, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 955 B Main St, Sanford, ME 04073 Phone: 207-324-0026
Lea Beaulieu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Stilson St, Sanford, ME 04073 Phone: 207-324-8699
Dr. John Ralph Beaudoin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Stilson St, Sanford, ME 04073 Phone: 207-324-4493 Fax: 207-490-6551
Drew Fitzgibbon, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1364 Main St, Suite 20, Sanford, ME 04073 Phone: 207-324-4003
Raymond J Beaudoin Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Stilson St, Sanford, ME 04073 Phone: 207-324-8699
Dr. Shaun A Janvier, D.M.D, P.A Dentist Medicare: Not Enrolled in Medicare Practice Location: 856 Main St, Sanford, ME 04073 Phone: 207-324-0703 Fax: 207-324-2774

Jacquelyn Carole Richards, - Medicare Dentist in Sanford, ME