| Candie M Richardson, MD | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 395-8166 | |
| Not Available |
| Full Name | Candie M Richardson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467442111 | NPI | - | NPPES |
| 1521416 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35.084133 (Ohio) | Primary |
| 207P00000X | Emergency Medicine | N1427 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | MD45988 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkridge Medical Center | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Tn, Pc | 3173989837 | 106 |
| Entity Name | Chattanooga Emergency Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427264126 PECOS PAC ID: 0042304032 Enrollment ID: O20070921000163 |
| Entity Name | Emergency Medicine Services Of Tn, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Candie M Richardson, MD 725 Glenwood Drive, Suite E-487, Chattanooga, TN 37404 Ph: (423) 697-0014 | Candie M Richardson, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8166 |
Matthew P Kiefaber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Mitchell Spencer Garey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Sarah Valentine, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Dr. Stacey Lynn Poznanski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3525 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8839 | |
Aditya Arora, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-436-4658 | |
Dr. Michael Edward Dowler, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Emergency Department, Kettering, OH 45429 Phone: 937-395-8166 | |
Dr. Zena Jalloh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429 Phone: 800-875-0136 |