Dr Charles David Richardson Ii, DO in Hattiesburg, MS

Dr Charles David Richardson Ii, DO is a medicare enrolled "Psychiatry & Neurology - Neurodevelopmental Disabilities" physician in Hattiesburg, Mississippi. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Forrest County General Hospital and his current practice location is 2117 Broadway Drive, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 288-8050.

Dr Charles David Richardson Ii is licensed to practice in Mississippi (license number 24662) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942640388.

Contact Information

	Dr Charles David Richardson Ii, DO
	2117 Broadway Drive, Hattiesburg, MS 39402-3210
	(601) 288-8050
	(601) 288-8058

Map and Direction

Physician's Profile

Full Name	Dr Charles David Richardson Ii
Gender	Male
Speciality	Psychiatry
Experience	12 Years
Location	2117 Broadway Drive, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Charles David Richardson Ii graduated from medical school in 2013

NPI Data:

NPI Number: 1942640388
Provider Enumeration Date: 06/30/2013
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 3274840822
Enrollment ID: I20180321000935

Medical Identifiers

Medical identifiers for Dr Charles David Richardson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942640388	NPI	-	NPPES
24662	Other	MS	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	24662 (Mississippi)	Secondary
2084P0005X	Psychiatry & Neurology - Neurodevelopmental Disabilities	24662 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forrest County General Hospital	1052397767	99

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 Charles David Richardson Ii allows following entities to bill medicare on his behalf.

Entity Name	Forrest County General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351

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 Charles David Richardson Ii 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 Charles David Richardson Ii, DO 2117 Broadway Drive, Hattiesburg, MS 39402-3210 Ph: (601) 288-8050	Dr Charles David Richardson Ii, DO 2117 Broadway Drive, Hattiesburg, MS 39402-3210 Ph: (601) 288-8050

Reviews and Comments

Psychiatry & Neurology Doctors in Hattiesburg, MS

Dr. Raymond L Struck, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 S 19th Ave, Hattiesburg, MS 39401 Phone: 601-544-4641 Fax: 601-582-1607
Joshua A Maksi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851
Bertha J Blanchard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 105 Asbury Cir, Suite A, Hattiesburg, MS 39402 Phone: 601-268-5222 Fax: 601-296-3508
Roopsi Bassi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2117 Broadway Drive, Hattiesburg, MS 39402 Phone: 601-288-8050 Fax: 601-288-8058
Dr. Thomas A Miller, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2117 Broadway Drive, Hattiesburg, MS 39402 Phone: 601-288-8050 Fax: 601-288-8058
Jose P Fernandez Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402 Phone: 601-268-5620 Fax: 601-268-5851
Geoffrey B Hartwig, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851

Dr Charles David Richardson Ii, DO - Medicare Psychiatry in Hattiesburg, MS