Derek M Richardson, - Medicare Family Medicine in Greenville, NC

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Derek M Richardson, is a medicare enrolled "Family Medicine" physician in Greenville, North Carolina. His current practice location is 315 W 2nd St, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 507-0588.

Derek M Richardson is licensed to practice in North Carolina (license number 2015-02469) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205061553.

Contact Information

Derek M Richardson,
315 W 2nd St,
Greenville, NC 27834-1969
(252) 507-0588
Not Available

Map and Direction




Physician's Profile

Full NameDerek M Richardson
GenderMale
SpecialityFamily Medicine
Location315 W 2nd St, Greenville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205061553
  • Provider Enumeration Date: 05/15/2009
  • Last Update Date: 01/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951570209
  • Enrollment ID: I20160606000074

Medical Identifiers

Medical identifiers for Derek M Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205061553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DR.0053968 (Colorado)Secondary
207Q00000XFamily Medicine 0101248338 (Virginia)Secondary
208M00000XHospitalist DR.0053968 (Colorado)Secondary
208M00000XHospitalist 2015-02469 (North Carolina)Secondary
207Q00000XFamily Medicine 2015-02469 (North Carolina)Primary

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. Derek M Richardson allows following entities to bill medicare on his behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameGalileo Medical Group Nc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831660265
PECOS PAC ID: 0648603266
Enrollment ID: O20191211002938

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. Derek M 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
Derek M Richardson,
64 Bleecker St # 151,
New York, NY 10012-2410

Ph: (302) 810-1584		Derek M Richardson,
315 W 2nd St,
Greenville, NC 27834-1969

Ph: (252) 507-0588

Reviews and Comments


Family Medicine Doctors in Greenville, NC

Dr. Giselle Devonne Blair, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 315 W 2nd St, Greenville, NC 27834
Phone: 252-507-0588    Fax: 855-937-0774
Dr. Emily L Bray, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Heart Dr, Greenville, NC 27834
Phone: 252-744-4611    Fax: 252-744-3201
Dr. Shivajirao Prakash Patil, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Heart Dr, Greenville, NC 27834
Phone: 252-744-4611    Fax: 252-744-3040
Dr. Jessica Lee Zimmerman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Heart Dr, Greenville, NC 27834
Phone: 252-744-4611    Fax: 252-744-3201
Dr. Ashton Fox Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-744-4757    Fax: 252-744-5014
Dr. Celeste T. Jackson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858
Phone: 252-744-1122    Fax: 252-744-1133
Dr. Sean Carl Vidulich, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858
Phone: 252-744-1122    Fax: 252-744-1133

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.