| Daniel Dale Richardson, MD | |
|
615 E 12th St, Washington, NC 27889-3408 | |
| (252) 946-0181 | |
| (252) 946-7774 |
| Full Name | Daniel Dale Richardson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 615 E 12th St, Washington, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851338172 | NPI | - | NPPES |
| P00322237 | Other | NC | RAILROAD MEDICARE |
| 2223843B | Other | NC | AETNA |
| 7908120 | Other | NC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 9600700 (North Carolina) | Primary |
| 208600000X | Surgery | 036263 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Vidant Duplin Hospital | Kenansville, NC | Hospital |
| The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Outer Banks Professional Services, Llc | 3173652096 | 120 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Entity Name | Dhp Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780949032 PECOS PAC ID: 1153570783 Enrollment ID: O20120925000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Dale Richardson, MD 615 E 12th St, Washington, NC 27889-3408 Ph: (252) 946-0181 | Daniel Dale Richardson, MD 615 E 12th St, Washington, NC 27889-3408 Ph: (252) 946-0181 |
Evan Jones Rey, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 | |
James B Coleman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 615 E 12th St, Washington, NC 27889 Phone: 252-946-0181 Fax: 252-946-7774 | |
Dr. Allison C Estep, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 615 E 12th St, Washington, NC 27889 Phone: 252-946-0181 | |
William W Tipton, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 615 E 12th St, Washington, NC 27889 Phone: 252-946-0181 Fax: 252-946-7774 |