Dr Spencer Daniel Richardson, MD is a medicare enrolled "Surgery" physician in Bay St Louis, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Community Surgical Center Dr. David Crump and his current practice location is
105 Drinkwater Blvd, Bay St Louis, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 467-5983.
Dr Spencer Daniel Richardson is licensed to practice in Mississippi (license number 24758) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942564315.
Physician's Profile
Full Name | Dr Spencer Daniel Richardson |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 12 Years |
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Location | 105 Drinkwater Blvd, Bay St Louis, Mississippi |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Spencer Daniel Richardson attended and graduated from University Of Mississippi School Of Medicine in 2012
NPI Data:
- NPI Number: 1942564315
- Provider Enumeration Date: 06/29/2012
- Last Update Date: 06/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921324047
- Enrollment ID: I20170629002227
Medical Identifiers
Medical identifiers for Dr Spencer Daniel Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942564315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 24758 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Surgical Center Dr. David Crump | 3779534318 | 2 |
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 Spencer Daniel Richardson allows following entities to bill medicare on his behalf.
Entity Name | Community Surgical Center Dr. David Crump |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730269846 PECOS PAC ID: 3779534318 Enrollment ID: O20050201000777 |
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Entity Name | Hancock Medical Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346559689 PECOS PAC ID: 8527256676 Enrollment ID: O20101216000447 |
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Entity Name | Ochsner Mississippi, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538674239 PECOS PAC ID: 0143580993 Enrollment ID: O20180216000366 |
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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 Spencer Daniel Richardson 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 Spencer Daniel Richardson, MD 105 Drinkwater Blvd, Department Of Surgery, Bay St Louis, MS 39520 Ph: (228) 467-5983 | Dr Spencer Daniel Richardson, MD 105 Drinkwater Blvd, Bay St Louis, MS 39520 Ph: (228) 467-5983 |
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