| Dr Lakeisha White Richardson, MD | |
|
302 Arnold Ave, Greenville, MS 38701-4711 | |
| (662) 335-2093 | |
| Not Available |
| Full Name | Dr Lakeisha White Richardson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 25 Years |
| Location | 302 Arnold Ave, Greenville, Mississippi |
| 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 |
|---|---|---|---|
| 1417132689 | NPI | - | NPPES |
| 09536509 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 20745 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delta Regional Medical Center | Greenville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Medical Group | 6608775531 | 42 |
| Entity Name | Delta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
| Entity Name | Delta Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659378610 PECOS PAC ID: 6608783295 Enrollment ID: O20040216000676 |
| Entity Name | Ms State Dept Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Obhg Mississippi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lakeisha White Richardson, MD 302 Arnold Ave, Greenville, MS 38701-4711 Ph: (662) 335-2093 | Dr Lakeisha White Richardson, MD 302 Arnold Ave, Greenville, MS 38701-4711 Ph: (662) 335-2093 |
Paul D Jackson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 508 Arnold Ave, Greenville, MS 38701 Phone: 662-335-4000 Fax: 662-332-3867 | |
James R Beckham, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 129 E Starling St, Suite C, Greenville, MS 38701 Phone: 662-725-1500 Fax: 662-725-1515 | |
Jack A Mcneil, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6 Orchard Pl, Greenville, MS 38701 Phone: 662-332-1463 |