| Dr Theodore David Richards Jr, DO | |
|
611 Alcorn Dr, Corinth, MS 38834-9321 | |
| (166) 229-3768 | |
| Not Available |
| Full Name | Dr Theodore David Richards Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 611 Alcorn Dr, Corinth, Mississippi |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760892095 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Health Care-cleveland | Cleveland, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Physician Services, Llc | 8123563392 | 38 |
| Entity Name | Bradley Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710727540 PECOS PAC ID: 8123563392 Enrollment ID: O20240711003004 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore David Richards Jr, DO 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (166) 229-3768 | Dr Theodore David Richards Jr, DO 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (166) 229-3768 |
Jessica Suzanne Jensen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Christopher Taylor Smith, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-7686 Fax: 662-293-4347 | |
Austin Winegar, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 208-550-2969 | |
John Wayne Prather, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Suite 230, Corinth, MS 38834 Phone: 662-287-5218 Fax: 662-286-3186 | |
Dr. Ryder Lane Costa, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1143 | |
Dr. Michael Tefertiller, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Neil Sloan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 Alcorn Dr, Corinth, MS 38834 Phone: 662-665-9073 Fax: 662-665-9098 |