Dr Carissa M Richardson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Coeur D'alene, Idaho. She went to University Of Nevada School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Health Care For Women, Pa and her current practice location is
980 W Ironwood Dr #101, Coeur D'alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 765-1455.
Dr Carissa M Richardson is licensed to practice in Idaho (license number M-13322) 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 1972827582.
Physician's Profile
| Full Name | Dr Carissa M Richardson |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 14 Years |
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| Location | 980 W Ironwood Dr #101, Coeur D'alene, Idaho |
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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. |
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Medical Education and Training:
- Dr Carissa M Richardson attended and graduated from University Of Nevada School Of Medicine in 2010
NPI Data:
- NPI Number: 1972827582
- Provider Enumeration Date: 03/25/2010
- Last Update Date: 12/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 6103059530
- Enrollment ID: I20160922002329
Medical Identifiers
Medical identifiers for Dr Carissa M Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972827582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | M-13322 (Idaho) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Kootenai Health | Coeur d'alene, ID | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Health Care For Women, Pa | 9234187378 | 5 |
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. Dr Carissa M Richardson allows following entities to bill medicare on her behalf.
| Entity Name | Kootenai Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230 |
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| Entity Name | Health Care For Women, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750312583
PECOS PAC ID: 9234187378
Enrollment ID: O20050105001010 |
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| Entity Name | Kootenai Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252 |
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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. Dr Carissa 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 Address | Practice Location Address |
|---|
Dr Carissa M Richardson, MD
980 W Ironwood Dr #101,
Coeur D'alene, ID 83814
Ph: (208) 765-1455 | Dr Carissa M Richardson, MD
980 W Ironwood Dr #101,
Coeur D'alene, ID 83814
Ph: (208) 765-1455 |
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