Dr Kenneth Edwin Richter Jr, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ceres, California. His current practice location is
1904 Richland Ave, Ceres, California. You can reach out to his office (for appointments etc.) via phone at
(209) 300-8800.
Dr Kenneth Edwin Richter Jr is licensed to practice in California (license number 20A10813) 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 1174605067.
Physician's Profile
| Full Name | Dr Kenneth Edwin Richter Jr |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1904 Richland Ave, Ceres, 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: 1174605067
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193079101
- Enrollment ID: I20190519000015
Medical Identifiers
Medical identifiers for Dr Kenneth Edwin Richter Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174605067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20A10813 (California) | Secondary |
| 208D00000X | General Practice | 4168 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A10813 (California) | 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 Kenneth Edwin Richter Jr allows following entities to bill medicare on his behalf.
| Entity Name | Telecare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720164882
PECOS PAC ID: 6901820380
Enrollment ID: O20070614000167 |
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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 Kenneth Edwin Richter Jr 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 Kenneth Edwin Richter Jr, DO
3601 Pickett Rd Unit 2489,
Fairfax, VA 22031-8123
Ph: (619) 203-2426 | Dr Kenneth Edwin Richter Jr, DO
1904 Richland Ave,
Ceres, CA 95307-4562
Ph: (209) 300-8800 |
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