John David Richardson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Brookhaven, Mississippi. He went to Baylor College Of Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Kdmc Physician Clinics Llc and his current practice location is
439 N Jackson St Ste D, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 835-9499.
John David Richardson is licensed to practice in Mississippi (license number 11411) 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 1144230038.
Physician's Profile
| Full Name | John David Richardson |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 36 Years |
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| Location | 439 N Jackson St Ste D, Brookhaven, 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. |
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Medical Education and Training:
- John David Richardson attended and graduated from Baylor College Of Medicine in 1990
NPI Data:
- NPI Number: 1144230038
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 01/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 2668547993
- Enrollment ID: I20080820000487
Medical Identifiers
Medical identifiers for John David Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144230038 | NPI | - | NPPES |
| 00119784 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11411 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kdmc Physician Clinics Llc | 7012154495 | 28 |
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. John David Richardson allows following entities to bill medicare on his behalf.
| Entity Name | St. Dominic Medical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821 |
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| Entity Name | Kdmc Physician Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861739161
PECOS PAC ID: 7012154495
Enrollment ID: O20130501000541 |
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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. John David 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 |
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John David Richardson, MD
439 N Jackson St Ste D,
Brookhaven, MS 39601-2912
Ph: (601) 835-9499 | John David Richardson, MD
439 N Jackson St Ste D,
Brookhaven, MS 39601-2912
Ph: (601) 835-9499 |
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