Dr Cassandra A Mahan-richards, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Grand Terrace, California. 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 Washington (license number MD60286895) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Allergy & Immunology - Allergy |
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| Location | 11980 Mount Vernon Ave, Grand Terrace, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093767782
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870487606
- Enrollment ID: I20150313001995
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 |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | G53986 (California) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | MD60286895 (Washington) | 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. Dr Cassandra A Mahan-richards allows following entities to bill medicare on her behalf.
| Entity Name | Rockwood Clinic Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417953787
PECOS PAC ID: 8527976513
Enrollment ID: O20031117000912 |
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| Entity Name | Advanced Allergy And Asthma, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841429743
PECOS PAC ID: 3274662853
Enrollment ID: O20100519000658 |
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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 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 |
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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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