Dr Charlotte Jean Richards, MD is a medicare enrolled "Obstetrics & Gynecology" physician in San Luis, Arizona. She went to University Of Arizona College Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice San Luis Walk-in Clinic Inc and her current practice location is
1896 E Babbit Lane, San Luis, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 722-6112.
Dr Charlotte Jean Richards is licensed to practice in Massachusetts (license number 59904) 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 1851358857.
Physician's Profile
Full Name | Dr Charlotte Jean Richards |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 43 Years |
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Location | 1896 E Babbit Lane, San Luis, Arizona |
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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. |
Medical Education and Training:
- Dr Charlotte Jean Richards attended and graduated from University Of Arizona College Of Medicine in 1981
NPI Data:
- NPI Number: 1851358857
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 05/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 1951342005
- Enrollment ID: I20120106000437
Medical Identifiers
Medical identifiers for Dr Charlotte Jean Richards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851358857 | NPI | - | NPPES |
626655 | Medicaid | AZ | |
Z92837 | Other | AZ | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 59904 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
San Luis Walk-in Clinic Inc | 2668361841 | 32 |
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 Charlotte Jean Richards allows following entities to bill medicare on her behalf.
Entity Name | San Luis Walk-in Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
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Entity Name | San Luis Walk-in Clinic Inc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1114549987 PECOS PAC ID: 2668361841 Enrollment ID: O20210311001299 |
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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 Charlotte Jean 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 Charlotte Jean Richards, MD Po Box 1669, San Luis, AZ 85349-1669 Ph: (928) 722-6112 | Dr Charlotte Jean Richards, MD 1896 E Babbit Lane, San Luis, AZ 85349-1669 Ph: (928) 722-6112 |
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