| Dr Peter John Richerson, MD | |
| 
					300 University Blvd, Round Rock, TX 78665  | |
| (512) 509-0100 | |
| Not Available | 
| Full Name | Dr Peter John Richerson | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 300 University Blvd, Round Rock, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114174117 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | N6971 (Texas) | Primary | 
| Entity Name | Scott & White Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640  | 
| Entity Name | Scott & White Hospital - Taylor | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659548568 PECOS PAC ID: 1456246750 Enrollment ID: O20040217000059  | 
| Entity Name | Brazos Valley Emergency Physicians Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982642955 PECOS PAC ID: 0749276772 Enrollment ID: O20040521001234  | 
| Entity Name | Cahrmc Llc | 
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) | 
| Entity Identifiers | NPI Number: 1205164928 PECOS PAC ID: 6608916879 Enrollment ID: O20110330000977  | 
| Entity Name | Century Integrated Partners, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Peter John Richerson, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () -  | Dr Peter John Richerson, MD 300 University Blvd, Round Rock, TX 78665 Ph: (512) 509-0100  | 
Clarke Worley Goodman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000  | |
Dr. Jaclyn Ngoc Minh Nguyen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100  | |
Christopher Wallace, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 Fax: 512-218-6330  | |
Kristen Faye Walker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3341 Winding River Trl, Round Rock, TX 78681 Phone: 325-260-9002  | |
Dr. James Porter Mcdonough Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100  | |
Jordan Scaff,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000  |