Dr Douglas W Richmond, MD in Broken Arrow, OK

Dr Douglas W Richmond, MD is a medicare enrolled "Pediatrics" physician in Broken Arrow, Oklahoma. His current practice location is 5795 S Elm Pl, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 716-5437.

Dr Douglas W Richmond is licensed to practice in Oklahoma (license number 25821) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396945564.

Contact Information

	Dr Douglas W Richmond, MD
	5795 S Elm Pl, Broken Arrow, OK 74011-4893
	(918) 716-5437
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Douglas W Richmond
Gender	Male
Speciality	Pediatrics
Location	5795 S Elm Pl, Broken Arrow, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396945564
Provider Enumeration Date: 07/24/2007
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 6406985407
Enrollment ID: I20100601000675

Medical Identifiers

Medical identifiers for Dr Douglas W Richmond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396945564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	25821 (Oklahoma)	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 Douglas W Richmond allows following entities to bill medicare on his behalf.

Entity Name	Emergency Medicine Physicians Of Tulsa County Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003098773 PECOS PAC ID: 8628140225 Enrollment ID: O20080626000116

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 Douglas W Richmond 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 Douglas W Richmond, MD 11960 S 98th East Ave, Bixby, OK 74008-2552 Ph: (918) 369-7219	Dr Douglas W Richmond, MD 5795 S Elm Pl, Broken Arrow, OK 74011-4893 Ph: (918) 716-5437

Reviews and Comments

Pediatrics Doctors in Broken Arrow, OK

Latina D Shelley, APRN, CPNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 817 S Elm Pl Ste 106, Broken Arrow, OK 74012 Phone: 918-928-5437 Fax: 888-720-8944
Dr. Suresh Bharani, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3300 S Aspen Ave, Suite B, Broken Arrow, OK 74012 Phone: 918-455-4140
Dr. Lisa Diane Macek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2950 S Elm Pl, Suite 160, Broken Arrow, OK 74012 Phone: 918-449-3750 Fax: 918-449-3755
Anne K Harrington, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2950 S Elm Pl, Ste 430, Broken Arrow, OK 74012 Phone: 918-449-4061 Fax: 918-449-4065
Dr. Carl Erwin Pfanstiel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1220 N Elm Place, Broken Arrow, OK 74012 Phone: 918-258-1955 Fax: 918-251-5802
Julie Gail Sullivan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012 Phone: 918-254-6822 Fax: 918-254-6823

Dr Douglas W Richmond, MD - Medicare Pediatrics in Broken Arrow, OK