| Dr Charlotte Jean Richards, MD | |
|
1896 E Babbit Lane, San Luis, AZ 85349-1669 | |
| (928) 722-6112 | |
| (928) 722-6113 |
| Full Name | Dr Charlotte Jean Richards |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 45 Years |
| Location | 1896 E Babbit Lane, San Luis, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851358857 | NPI | - | NPPES |
| 626655 | Medicaid | AZ | |
| Z92837 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 59904 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Luis Walk-in Clinic Inc | 2668361841 | 50 |
| Entity Name | San Luis Walk-in Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
| Entity Name | San Luis Walk-in Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1114549987 PECOS PAC ID: 2668361841 Enrollment ID: O20210311001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charlotte Jean Richards, MD Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 662-0406 | Dr Charlotte Jean Richards, MD 1896 E Babbit Lane, San Luis, AZ 85349-1669 Ph: (928) 722-6112 |
Robert L Brooks, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1896 E Babbit Lane, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 | |
May Chambers, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 151 S Oak Ave Ste 3, San Luis, AZ 85336 Phone: 928-662-0412 |