Dr Cassandra A Mahan-richards, MD is a medicare enrolled "Pediatrics" physician in Grand Terrace, California. She graduated from medical school in 1983 and has 43 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
11980 Mount Vernon Ave, Grand Terrace, California. You can reach out to her office (for appointments etc.) via phone at
(909) 864-1097.
Dr Cassandra A Mahan-richards is licensed to practice in California (license number G53986) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1093767782.
Physician's Profile
| Full Name | Dr Cassandra A Mahan-richards |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 43 Years |
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| Location | 11980 Mount Vernon Ave, Grand Terrace, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cassandra A Mahan-richards graduated from medical school in 1983
NPI Data:
- NPI Number: 1093767782
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 09/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870487606
- Enrollment ID: I20251002005094
Medical Identifiers
Medical identifiers for Dr Cassandra A Mahan-richards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093767782 | NPI | - | NPPES |
| MD60286895 | Other | WA | WASHINGTON STATE LICENSE |
| 00G646250 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | G53986 (California) | Primary |
| 207KA0200X | Allergy & Immunology - Allergy | G53986 (California) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | MD60286895 (Washington) | Secondary |
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 Cassandra A Mahan-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 |
|---|
Dr Cassandra A Mahan-richards, MD
Po Box 3649,
Spokane, WA 99220-3649
Ph: () - | Dr Cassandra A Mahan-richards, MD
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172
Ph: (909) 864-1097 |
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