Jackson Royal Richards, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in South Salt Lake, Utah. He went to University Of Utah School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice St Lukes Methodist Hospital, Iowa Physicians Clinic Medical Foundation, Central Iowa Hospital Corporation and his current practice location is
955 W 3300 S, South Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 583-2500.
Jackson Royal Richards is licensed to practice in Iowa (license number R-12525) 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 1972244655.
Physician's Profile
| Full Name | Jackson Royal Richards |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 4 Years |
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| Location | 955 W 3300 S, South Salt Lake, Utah |
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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:
- Jackson Royal Richards attended and graduated from University Of Utah School Of Medicine in 2022
NPI Data:
- NPI Number: 1972244655
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 06/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 9739560335
- Enrollment ID: I20240920000511
Medical Identifiers
Medical identifiers for Jackson Royal Richards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972244655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R-12525 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Lukes Methodist Hospital | 6608786751 | 81 |
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1234 |
| Central Iowa Hospital Corporation | 1052229275 | 225 |
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. Jackson Royal Richards allows following entities to bill medicare on his behalf.
| Entity Name | Iowa Physicians Clinic Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
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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. Jackson Royal Richards 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 |
Jackson Royal Richards, MD, PHD 10954 S Coastal Dune Dr, South Jordan, UT 84009-4706 Ph: (319) 356-1373 | Jackson Royal Richards, MD, PHD 955 W 3300 S, South Salt Lake, UT 84119-3325 Ph: (801) 583-2500 |
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